{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T09:00:04Z","timestamp":1773392404083,"version":"3.50.1"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2020,11,12]],"date-time":"2020-11-12T00:00:00Z","timestamp":1605139200000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>A 79-year-old male presented with abdominal pain, incidental umbilical hernia and acute midgut volvulus that was not detected until surgical exploration. When he presented to hospital, computed tomography (CT) findings indicated perforated jejunoileal diverticulitis; however, in the operating room clockwise volvulization of the jejunum and ileum, secondarily inflamed jejunoileal diverticula, incomplete malrotation (right-sided duodenojejunal flexure), right retroperitoneal adhesions (Ladd\u2019s bands) and numerous other congenital adhesive bands were found. A modified Ladd\u2019s procedure and umbilical hernia repair were completed including detorsion, division of Ladd\u2019s bands with medialization of the cecum and lysis of other congenital adhesions without appendectomy. The patient recovered to baseline function by 3\u00a0weeks postoperatively. Acute midgut volvulus is a life-threatening surgical emergency that is exceptionally rare in the elderly. CT is relatively insensitive, so misdiagnosis is common. A high index of suspicion is required, especially in patients with a history of congenital gastrointestinal abnormalities. Prompt surgical exploration for correction and prevention is crucial.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa449","type":"journal-article","created":{"date-parts":[[2020,10,9]],"date-time":"2020-10-09T11:11:16Z","timestamp":1602241876000},"source":"Crossref","is-referenced-by-count":3,"title":["Acute midgut volvulus in a septuagenarian with secondary jejunoileal diverticulitis and undiagnosed congenital malrotation: an unusual presentation"],"prefix":"10.1093","volume":"2020","author":[{"given":"Gregory","family":"Sigler","sequence":"first","affiliation":[{"name":"Department of Surgery, The Ottawa Hospital, Ottawa, ON, Canada"},{"name":"Faculty of Medicine, The University of Ottawa, Ottawa, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Baker","sequence":"additional","affiliation":[{"name":"Department of Surgery, The Ottawa Hospital, Ottawa, ON, Canada"},{"name":"Faculty of Medicine, The University of Ottawa, Ottawa, ON, Canada"},{"name":"Clinical Epidemiology, The Ottawa Hospital Research Institute, Ottawa, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shaheer","family":"Tadros","sequence":"additional","affiliation":[{"name":"Department of Surgery, The Ottawa Hospital, Ottawa, ON, Canada"},{"name":"Faculty of Medicine, The University of Ottawa, Ottawa, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janelle","family":"Rekman","sequence":"additional","affiliation":[{"name":"Department of Surgery, The Ottawa Hospital, Ottawa, ON, Canada"},{"name":"Faculty of Medicine, The University of Ottawa, Ottawa, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sameer S","family":"Apte","sequence":"additional","affiliation":[{"name":"Department of Surgery, The Ottawa Hospital, Ottawa, ON, Canada"},{"name":"Faculty of Medicine, The University of Ottawa, Ottawa, ON, Canada"},{"name":"Clinical Epidemiology, The Ottawa Hospital 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