Adult Malrotation With Midgut Volvulus: A Case Requiring Temporary Abdominal Closure and Second-Look Operation
Tyler A Finkenthal1, Abhiram Kondajji1
1General Surgery, Cleveland Clinic - South Pointe Hospital, Warrensville Heights, USA.
Cureus
|April 14, 2026
Summary
Adult malrotation with midgut volvulus is rare and challenging to diagnose. This case highlights a unique presentation of extensive small bowel necrosis requiring surgical resection and complex management.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Medical Diagnostics
Background:
- Intestinal malrotation is a congenital anomaly typically diagnosed in infancy.
- Midgut volvulus, a complication of malrotation, can lead to bowel ischemia.
- Adult presentation of malrotation with midgut volvulus is uncommon and poses diagnostic challenges.


