{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T11:18:38Z","timestamp":1764933518148,"version":"3.46.0"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T00:00:00Z","timestamp":1764892800000},"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":[[2025,11,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Intestinal malrotation is rarely diagnosed in adulthood and often presents with non-specific or chronic symptoms. We report a case of a 54-year-old woman presenting with recurrent abdominal pain and obstructive symptoms. Preoperative imaging was inconclusive, and diagnostic laparoscopy revealed non-rotation with abnormal positioning of the bowel and a mobile transverse colon looping around the superior mesenteric artery without volvulus. A standard Ladd procedure was performed, along with a tailored ileosigmoid anastomosis to restore bowel continuity and prevent future volvulus. The postoperative course was uneventful, and the patient remained symptom-free at follow-up. Adult intestinal malrotation may require individualized surgical correction when anatomical variations are encountered intraoperatively. Prompt surgical adaptation can lead to favorable outcomes.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf957","type":"journal-article","created":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:08:16Z","timestamp":1762866496000},"source":"Crossref","is-referenced-by-count":0,"title":["Adult intestinal non-rotation with chronic obstructive symptoms: a rare case report and review of diagnostic laparoscopy and functional reconstruction beyond standard Ladd\u2019s procedure"],"prefix":"10.1093","volume":"2025","author":[{"given":"Dani","family":"Alokla","sequence":"first","affiliation":[{"name":"Emergency Medicine, Damascus Hospital, Ministry of Health , Damascus ,","place":["Syria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1212-576X","authenticated-orcid":false,"given":"Sliman","family":"Marina","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Damascus University , Damascus ,","place":["Syria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0607-0889","authenticated-orcid":false,"given":"Mahmoud Alhamadeh","family":"Alswij","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Hematology Department, Al-Mouwasat University Hospital , Damascus ,","place":["Syria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed Abdulkafee","family":"Alshareeda","sequence":"additional","affiliation":[{"name":"General Surgery, Faculty of Medicine, Tishreen University , Latakia ,","place":["Syria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad Naser Jasem","family":"Alahmad","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Faculty of Medicine, Aleppo University , Aleppo ,","place":["Syria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali Bareaj","family":"Alkalet","sequence":"additional","affiliation":[{"name":"General Surgery, Lattakia University Hospital, Faculty of Medicine, Lattakia University , Latakia ,","place":["Syria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adnan Alhaj","family":"Hasan","sequence":"additional","affiliation":[{"name":"Internal Medicine, Faculty of Medicine, Damascus University , Damascus ,","place":["Syria"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,12,5]]},"reference":[{"key":"2025120506131136400_ref1"},{"key":"2025120506131136400_ref2","doi-asserted-by":"publisher","first-page":"280","DOI":"10.5505\/tjtes.2012.60973","article-title":"Intestinal malrotation in an adult: case report","volume":"18","author":"S\u00f6zen","year":"2012","journal-title":"Ulus Travma Acil Cerrahi Derg"},{"key":"2025120506131136400_ref3","doi-asserted-by":"publisher","first-page":"3002","DOI":"10.1007\/s00261-021-02959-3","article-title":"Intestinal malrotation in adults: prevalence and findings based on CT colonography","volume":"46","author":"Perez","year":"2021","journal-title":"Abdom Radiol (NY)"},{"key":"2025120506131136400_ref4","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1016\/j.jviscsurg.2017.04.002","article-title":"Ladd procedure for malrotation with total intestinal volvulus","volume":"154","author":"Tan","year":"2017","journal-title":"J Visc Surg"},{"key":"2025120506131136400_ref5","doi-asserted-by":"publisher","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":"Dig Dis Sci"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/12\/rjaf957\/65761960\/rjaf957.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/12\/rjaf957\/65761960\/rjaf957.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T11:14:04Z","timestamp":1764933244000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf957\/8369191"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,29]]},"references-count":5,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,11,29]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf957","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,12]]},"published":{"date-parts":[[2025,11,29]]},"article-number":"rjaf957"}}