@article{article_390199, title={ADULT INTESTINAL MALROTATION PRESENTING AS MIDGUT VOLVULUS; CASE REPORT}, journal={Journal of Surgical Arts}, volume={5}, pages={18–21}, year={2012}, author={Sahu, Shantanu Kumar and Raghuvanshi, Shailendra and Sinha, Arvind and Sachan, Praveendra Kumar}, keywords={Intestinal malrotation, volvulus, CT scan, whirpool or whirl sign, Ladd procedure}, abstract={Intestinal malrotation is a rare congenital condition caused by the absence of or incomplete rotation of the small bowel during the embryonic period and is defined as any deviation from the normal 270 degree counterclockwise rotation of the midgut. 64-80% of cases present primarily during the neonatal period prior to the first month of life, as acute intestinal obstruction due to volvulus of small intestine. The presentation of intestinal malrotation in adults is rare, and occurs in approximately 0.2-0.5%. Contrast enhanced CT can show the abnormal anatomic location of a right sided small bowel, a left-sided colon and an abnormal relationship of the superior mesenteric vein (SMV) situated to the left of the superior mesenteric artery (SMA) instead of to the right and the characteristic ‘whirpool or whirl sign’ describing the swirling appearance of bowel and mesentery twisted around the superior mesenteric arterial axis with the presence of midgut volvulus. Ladd procedure is the surgical treatment of choice. Here in, a 20-year-old man presenting with midgut volvulus has been discussed in view of the literature.}, number={1}, publisher={Osman Nuri DİLEK}