{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:06:58Z","timestamp":1753877218345,"version":"3.41.2"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2023,3,7]],"date-time":"2023-03-07T00:00:00Z","timestamp":1678147200000},"content-version":"vor","delay-in-days":6,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Congenital malrotation is a pathology nearly exclusive to the infant population. In the rare instance when it is diagnosed in an adult, it is typically associated with a longstanding history of gastrointestinal symptoms. Unfortunately, this unique presentation in an unexpected population has the potential to be confounding, leading to delayed or mismanaged care. Here, we describe an intriguing case of congenital malrotation complicated by midgut volvulus in a 68-year-old woman. Even more curious, the patient did not have a medical history plagued by abdominal complaints. Careful, comprehensive evaluation yielded appropriate surgical management via Ladd\u2019s procedure and right hemicolectomy in this complex patient.<\/jats:p>","DOI":"10.1093\/jscr\/rjad078","type":"journal-article","created":{"date-parts":[[2023,3,8]],"date-time":"2023-03-08T01:09:11Z","timestamp":1678237751000},"source":"Crossref","is-referenced-by-count":1,"title":["Emergent initial presentation of congenital malrotation with midgut volvulus in 68-year-old"],"prefix":"10.1093","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8161-8686","authenticated-orcid":false,"given":"Maria E","family":"Tecos","sequence":"first","affiliation":[{"name":"Department of General Surgery, University Of Nebraska Medical Center , Omaha, NA 68198 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4173-1251","authenticated-orcid":false,"given":"Margarita","family":"Pipinos","sequence":"additional","affiliation":[{"name":"Department of General Surgery, University Of Nebraska Medical Center , Omaha, NA 68198 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brett H","family":"Waibel","sequence":"additional","affiliation":[{"name":"Department of General Surgery, University Of Nebraska Medical Center , Omaha, NA 68198 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,3,7]]},"reference":[{"volume-title":"Midgut Malrotation","year":"2021","author":"Alani","key":"2023030801085975300_"},{"key":"2023030801085975300_","doi-asserted-by":"crossref","first-page":"1771","DOI":"10.1007\/s00268-020-05403-7","article-title":"Adult presentations of congenital midgut malrotation: a systematic review","volume":"44","author":"Neville","year":"2020","journal-title":"World J Surg"},{"key":"2023030801085975300_","doi-asserted-by":"crossref","first-page":"1367","DOI":"10.1177\/0003134820947406","article-title":"Intestinal malrotation in the adult","volume":"88","author":"Nguyen","year":"2022","journal-title":"Am Surg"},{"key":"2023030801085975300_","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1007\/s00268-020-05790-x","article-title":"Malrotation correction in the adult population","volume":"45","author":"Brungardt","year":"2021","journal-title":"World J Surg"},{"key":"2023030801085975300_","doi-asserted-by":"crossref","first-page":"rjab309","DOI":"10.1093\/jscr\/rjab309","article-title":"Midgut malrotation: a rare presentation of bowel obstruction in the adult","volume":"2021","author":"Singh","year":"2021","journal-title":"J Surg Case Rep"},{"key":"2023030801085975300_","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1016\/j.ijscr.2018.07.007","article-title":"An adult presentation of midgut volvulus secondary to intestinal malrotation: a case report and literature review","volume":"50","author":"Butterworth","year":"2018","journal-title":"Int J Surg Case Rep"},{"key":"2023030801085975300_","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.ijscr.2012.10.005","article-title":"A rare presentation of midgut malrotation as an acute intestinal obstruction in an adult: two case reports and literature review","volume":"4","author":"Singh","year":"2013","journal-title":"Int J Surg Case Rep"},{"key":"2023030801085975300_","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1016\/j.jviscsurg.2016.06.010","article-title":"Total midgut volvulus in adults with intestinal malrotation. 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