[A case of mature intestinal malrotation with cecal volvulus]

Area of Science:

• Gastroenterology
• Surgical Case Reports
• Abdominal Imaging

Background:

• Intestinal malrotation is a congenital anomaly typically diagnosed in infancy.
• Cecal volvulus is a rare cause of bowel obstruction, particularly in the elderly.

Observation:

• An 84-year-old male presented with abdominal distention and fever, initially assessed with lower gastrointestinal endoscopy.
• Emergency surgery revealed cecal volvulus secondary to incomplete intestinal rotation.
• The patient experienced intestinal perforation and subsequent multiple organ failure.

Findings:

• The case highlights cecal volvulus as a rare but critical complication of intestinal malrotation in an elderly patient.
• Delayed diagnosis and treatment contributed to the adverse outcome.

Implications:

• Clinicians should consider intestinal malrotation in the differential diagnosis of unexplained abdominal distention in elderly individuals.
• Early surgical intervention may be crucial for improving outcomes in cecal volvulus associated with malrotation.
• This case underscores the importance of recognizing congenital anomalies even in advanced age.