{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T06:56:50Z","timestamp":1768978610387,"version":"3.49.0"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2013,7,16]],"date-time":"2013-07-16T00:00:00Z","timestamp":1373932800000},"content-version":"vor","delay-in-days":196,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION:<\/jats:title>\n                    <jats:p>Midgut malrotation is a congenital anomaly presenting mainly in the childhood. Its presentation as an acute intestinal obstruction is extremely rare in adults usually recognized intra-operatively, therefore a high index of suspicion is always required when dealing with any case of acute intestinal obstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PRESENTATION OF CASE:<\/jats:title>\n                    <jats:p>We report two cases of young adults who presented with symptoms of acute intestinal obstruction and were diagnosed intra-operatively as cecal volvulus and paraduodenal hernia, respectively, caused by midgut malrotation. Post-operative CT scan confirmed these findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION:<\/jats:title>\n                    <jats:p>Malrotation of the intestinal tract is a product of an aberrant embryology. The presentation of intestinal malrotation in adults is rare (0.2\u20130.5%). 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Anomalies like midgut malrotation can present as an operative surprise and awareness regarding these anomalies can help surgeons deal with these conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2012.10.005","type":"journal-article","created":{"date-parts":[[2012,10,17]],"date-time":"2012-10-17T16:58:48Z","timestamp":1350493128000},"page":"72-75","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":21,"title":["A rare presentation of midgut malrotation as an acute intestinal obstruction in an adult"],"prefix":"10.1097","volume":"4","author":[{"given":"Shailendra","family":"Singh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anupam","family":"Das","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. S.","family":"Chawla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. V.","family":"Arya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jasneet","family":"Chaggar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-21-20260114","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1007\/BF01658699","article-title":"Malrotation of the intestine","volume":"17","author":"Torres","year":"1993","journal-title":"World Journal of Surgery"},{"key":"R2-21-20260114","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1007\/BF02047549","article-title":"Acute and chronic presentation of intestinal non-rotation in adult","volume":"37","author":"Von Flue","year":"1994","journal-title":"Diseases of the Colon and Rectum"},{"key":"R3-21-20260114","first-page":"839","article-title":"Anomalies of intestinal rotation in adolescents and adults","volume":"54","author":"Wang","year":"1963","journal-title":"Surgery"},{"key":"R4-21-20260114","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1007\/BF01316496","article-title":"Midgut volvulus as a complication of intestinal malrotation in adults","volume":"38","author":"Fukuya","year":"1993","journal-title":"Digestive Diseases and Sciences"},{"key":"R5-21-20260114","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1007\/BF01658699","article-title":"Malrotation of the intestine","volume":"17","author":"Margarita Torres","year":"1993","journal-title":"World Journal of Surgery"},{"key":"R7-21-20260114","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1016\/j.radi.2005.10.010","article-title":"An atypical clinical presentation of acute appendicitis in a young man with midgut malrotation","volume":"13","author":"Pinto","year":"2007","journal-title":"Radiography"},{"key":"R9-21-20260114","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1148\/radiol.2212010126","article-title":"Radiologist performance in the diagnosis of internal hernia by using specific CT findings with emphasis on trans-mesenteric hernia","volume":"221","author":"Blachar","year":"2001","journal-title":"Radiology"},{"key":"R10-21-20260114","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1001\/archsurg.1965.01320160046010","article-title":"Strangulation intestinal obstruction","volume":"91","author":"Leffall","year":"1965","journal-title":"Archives of Surgery"},{"key":"R11-21-20260114","first-page":"407","article-title":"Small bowel obstruction: the role of nonoperative treatment in simple intestinal obstruction and predictive criteria for strangulation obstruction","volume":"89","author":"Bizer","year":"1981","journal-title":"Surgery"},{"key":"R12-21-20260114","first-page":"542","article-title":"Computed tomography of left paraduodenal hernia","volume":"10","author":"Passas","year":"1986","journal-title":"Journal of Computer Assisted Tomography"},{"key":"R13-21-20260114","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1148\/95.1.29","article-title":"Paraduodenal hernias. Radiologic and arteriographic diagnosis","volume":"95","author":"Meyers","year":"1970","journal-title":"Radiology"},{"key":"R14-21-20260114","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1148\/radiographics.15.2.7761639","article-title":"Imaging of abdominal hernias","volume":"15","author":"Miller","year":"1995","journal-title":"Radiographics"},{"key":"R15-21-20260114","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1007\/BF01888498","article-title":"CT diagnosis of paraduodenal hernia","volume":"17","author":"Warshauer","year":"1992","journal-title":"Gastrointestinal Radiology"},{"key":"R16-21-20260114","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1007\/BF01889018","article-title":"CT findings in left paraduodenal herniae","volume":"13","author":"Day","year":"1988","journal-title":"Gastrointestinal Radiology"},{"key":"R17-21-20260114","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1148\/radiology.143.3.7079501","article-title":"Computed tomographic diagnosis of internal hernia","volume":"143","author":"Harbin","year":"1982","journal-title":"Radiology"},{"key":"R18-21-20260114","first-page":"254","article-title":"Paraduodenal hernias","volume":"68","author":"Bell-Thomson","year":"1977","journal-title":"American Journal of Gastroenterology"},{"key":"R19-21-20260114","first-page":"99","article-title":"Paraduodenal hernias","volume":"152","author":"Berardi","year":"1981","journal-title":"Surgery, Gynecology and Obstetrics"},{"key":"R21-21-20260114","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1016\/0002-9610(86)90258-8","article-title":"Congenital and acquired internal hernias: unusual causes of small bowel obstruction","volume":"152","author":"Newsom","year":"1986","journal-title":"American Journal of Surgery"},{"key":"R22-21-20260114","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1007\/s10140-004-0397-5","article-title":"Small bowel obstruction due to a paracecal hernia: computerized tomography diagnosis","volume":"11","author":"Osadchy","year":"2005","journal-title":"Emergency Radiology"},{"key":"R23-21-20260114","first-page":"183","article-title":"Paraduodenal hernia: an uncommon cause of recurrent abdominal pain","volume":"25","author":"Patti","year":"2004","journal-title":"Giornale di Chirurgia"},{"key":"R24-21-20260114","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1046\/j.1445-2197.2002.02300.x","article-title":"Left paraduodenal hernia: case report and review of the literature","volume":"72","author":"Tong","year":"2002","journal-title":"Australian and New Zealand Journal of Surgery"},{"key":"R25-21-20260114","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1016\/0002-9610(75)90318-9","article-title":"Surgery of left paraduodenal hernia","volume":"129","author":"Davis","year":"1975","journal-title":"American Journal of Surgery"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261212001812?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261212001812?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201304010-00021","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:21:10Z","timestamp":1768396870000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201304010-00021"}},"subtitle":["Two case reports and literature review"],"short-title":[],"issued":{"date-parts":[[2013,1]]},"references-count":22,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2012.10.005","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2013,1]]}}}