{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T23:57:04Z","timestamp":1788134224245,"version":"build-2803163510"},"reference-count":11,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,12,31]]},"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:p>Intestinal malrotation is usually diagnosed in early childhood. It results from failure of the normal gut rotation during embryological development. We present a case of a 62-year-old woman with a delayed presentation of an intestinal malrotation. She was admitted in the emergency department with an acute intestinal obstruction. Exploratory laparotomy revealed Ladd\u2019s band with caecum volvulus and intestinal malrotation. Ladd\u2019s procedure and right hemicolectomy were performed with uneventful recovery. Since both caecum volvulus and intestinal malrotation are rare events, particularly in adulthood, clinical diagnosis is challenging. Our aim is to increase the awareness of surgeons about this rare association as a cause of acute intestinal obstruction.<\/jats:p>","DOI":"10.1136\/bcr-2021-247645","type":"journal-article","created":{"date-parts":[[2022,2,2]],"date-time":"2022-02-02T10:26:36Z","timestamp":1643797596000},"page":"e247645","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Caecum volvulus as a late presentation of intestinal malrotation in an adult: a challenging diagnosis"],"prefix":"10.1136","volume":"15","author":[{"given":"Ana","family":"Torre","sequence":"first","affiliation":[{"name":"General Surgery Department, Centro Hospitalar Vila Nova de Gaia Espinho EPE, Vila Nova de Gaia, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3305-8201","authenticated-orcid":false,"given":"Andreia","family":"Amado","sequence":"additional","affiliation":[{"name":"General Surgery Department, Centro Hospitalar Vila Nova de Gaia Espinho EPE, Vila Nova de Gaia, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susana","family":"Gra\u00e7a","sequence":"additional","affiliation":[{"name":"General Surgery Department, Centro Hospitalar Vila Nova de Gaia Espinho EPE, Vila Nova de Gaia, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ant\u00f3nia","family":"P\u00f3voa","sequence":"additional","affiliation":[{"name":"General Surgery Department, Centro Hospitalar Vila Nova de Gaia Espinho EPE, Vila Nova de Gaia, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,2,2]]},"reference":[{"key":"2025082712462721000_15.2.e247645.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0149-7944(03)00030-8"},{"key":"2025082712462721000_15.2.e247645.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2007.11.029"},{"key":"2025082712462721000_15.2.e247645.3","doi-asserted-by":"publisher","DOI":"10.1007\/BF02047549"},{"key":"2025082712462721000_15.2.e247645.4","doi-asserted-by":"publisher","DOI":"10.1007\/s10140-007-0647-4"},{"key":"2025082712462721000_15.2.e247645.5","doi-asserted-by":"publisher","DOI":"10.1007\/s002619900560"},{"key":"2025082712462721000_15.2.e247645.6","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(61)90665-1"},{"key":"2025082712462721000_15.2.e247645.7","doi-asserted-by":"crossref","first-page":"102357","DOI":"10.1016\/j.amsu.2021.102357","article-title":"A rare association of caecal volvulus and intestinal malrotation causing an acute abdomen: case report","volume":"65","author":"Chaker","year":"2021","journal-title":"Ann Med Surg"},{"key":"2025082712462721000_15.2.e247645.8","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1016\/j.ijscr.2019.12.017","article-title":"Cecum perforation in intestinal malrotation setting in a patient with chromosome 12p deletion syndrome: a case report","volume":"66","author":"Oliveira","year":"2020","journal-title":"Int J Surg Case Rep"},{"key":"2025082712462721000_15.2.e247645.9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1136\/bcr-2017-222247","article-title":"Caecal volvulus with intestinal malrotation: need for caecopexy?","volume":"2017","author":"Yadav","year":"2017","journal-title":"BMJ Case Rep"},{"key":"2025082712462721000_15.2.e247645.10","doi-asserted-by":"crossref","first-page":"598","DOI":"10.11622\/smedj.2016175","article-title":"Clinics in diagnostic imaging (171). Caecal volvulus with underlying intestinal malrotation","volume":"57","author":"Ooi","year":"2016","journal-title":"Singapore Med J"},{"key":"2025082712462721000_15.2.e247645.11","first-page":"145","article-title":"Volvulus of the colon","volume":"57","author":"Theuer","year":"1991","journal-title":"Am Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-247645","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:46:34Z","timestamp":1756323994000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-247645"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2]]},"references-count":11,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2022,2,2]]},"published-print":{"date-parts":[[2022,2]]}},"alternative-id":["10.1136\/bcr-2021-247645"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-247645","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2]]}}}