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Updated: Nov 15, 2025

Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
A case of reversed intestinal rotation revealed by volvulus in adult: anatomo-radiological correlations
Bruno Coulier1, Frédéric Pierard2
1Department of Diagnostic Radiology, Clinique St Luc, Bouge, 5004, Namur, Belgium. bcoulier.md@gmail.com.
Abstract:
We report a case of reversed rotation (RR) of the midgut, the rarest form of intestinal malrotation (IMR), revealed by a chronic volvulus, in a 42-year-old woman presenting with episodes of abdominal pain occurring after heavy meals. The complete preoperative diagnosis was obtained by contrast-enhanced computed tomography (CT). Classical signs of volvulus were associated with typical findings of RR comprising an unusual position of the third duodenum in front of the mesenteric vessels and a very unusual location of the transverse colon behind these vessels. Complete absence of fixation of the right colon allowed secondary volvulus. A detailed reminder of the embryology of IMR and RR is presented.
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