{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T11:26:54Z","timestamp":1768390014672,"version":"3.49.0"},"reference-count":12,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T00:00:00Z","timestamp":1768348800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Small bowel obstruction is a common acute abdominal condition in adults, but obstruction caused by midgut malrotation\u2014a congenital anomaly affecting the normal rotation of the intestine during fetal development\u2014is rare. However, among infants and children, midgut malrotation is more frequently observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>We report the case of a 40-year-old male patient who presented with vomiting, accompanied by cessation of passing flatus and defecation, along with mild abdominal pain. After emergency admission and an enhanced CT scan of the abdomen, a typical mesenteric whirlpool sign was observed, with the cecum and appendix located in the left lower abdomen. The patient underwent emergency surgery and recovered well postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Midgut malrotation may be asymptomatic in the early stages but is accompanied by an increased risk of intestinal obstruction and intestinal necrosis with an increased angle of torsion, and early surgical intervention is recommended for midgut malrotation in adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Midgut malrotation often leads to the development of intestinal obstruction in adults and is a rare cause. Imaging can be well defined, as well as determining the presence of critical conditions such as intestinal necrosis. Surgery is the only effective method of treatment at present, and early surgery after definitive diagnosis is very important.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2025.1756065","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T06:40:42Z","timestamp":1768372842000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["A rare case of midgut malrotation leading to small bowel obstruction in an adult: a case report"],"prefix":"10.3389","volume":"12","author":[{"given":"Tian","family":"Wang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yichi","family":"Xu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiawen","family":"Xu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chunhua","family":"Zhen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,14]]},"reference":[{"key":"B1","first-page":"75","article-title":"On the factors concerned in causing rotation of the intestine in man","volume":"50","author":"Frazer","year":"1915","journal-title":"J Anat Physiol"},{"key":"B2","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1186\/s12861-015-0081-x","article-title":"The growth pattern of the human intestine and its mesentery","volume":"15","author":"Soffers","year":"2015","journal-title":"BMC Dev Biol"},{"key":"B3","doi-asserted-by":"publisher","first-page":"2851","DOI":"10.12998\/wjcc.v10.i9.2851","article-title":"Congenital intestinal malrotation with gastric wall defects causing extensive gut necrosis and short gut syndrome: a case report","volume":"10","author":"Wang","year":"2022","journal-title":"World J Clin Cases"},{"key":"B4","doi-asserted-by":"publisher","first-page":"191","DOI":"10.54847\/cp.2023.04.16","article-title":"A new technique in the treatment of intestinal malrotation","volume":"36","author":"Ibarra Rodr\u00edguez","year":"2023","journal-title":"Cir Pedi\u00e1tr"},{"key":"B5","doi-asserted-by":"publisher","first-page":"e37249","DOI":"10.1097\/MD.0000000000037249","article-title":"Adult-onset congenital intestinal malrotation: a case report and literature review","volume":"103","author":"Yin","year":"2024","journal-title":"Medicine (Baltimore)"},{"key":"B6","doi-asserted-by":"publisher","first-page":"355","DOI":"10.1016\/j.ijscr.2020.07.051","article-title":"Midgut volvulus caused by intestinal malrotation; A rare cause of acute abdomen in adults. Case report","volume":"73","author":"Perez Galaz","year":"2020","journal-title":"Int J Surg Case Rep"},{"key":"B7","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1186\/s13023-023-02722-5","article-title":"IMPOWER: a national patient-generated registry for intestinal malrotation exploring diagnosis, treatment, and surgical outcomes","volume":"18","author":"Martinez","year":"2023","journal-title":"Orphanet J Rare Dis"},{"key":"B8","doi-asserted-by":"publisher","first-page":"378","DOI":"10.1186\/s13256-023-04096-5","article-title":"Midgut volvulus due to congenital malrotation in an adult: a case report","volume":"17","author":"Eltayb","year":"2023","journal-title":"J Med Case Rep"},{"key":"B9","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1016\/j.ijscr.2019.03.029","article-title":"Midgut volvulus is a rare cause of intestinal obstruction in adults: a case report","volume":"58","author":"Ahmadi Amoli","year":"2019","journal-title":"Int J Surg Case Rep"},{"key":"B10","doi-asserted-by":"publisher","first-page":"328","DOI":"10.1007\/s11604-013-0194-8","article-title":"Adult midgut malrotation: multi-detector computed tomography (MDCT) findings of 14 cases","volume":"31","author":"Yang","year":"2013","journal-title":"Jpn J Radiol"},{"key":"B11","doi-asserted-by":"publisher","first-page":"410","DOI":"10.1097\/DCR.0000000000000998","article-title":"The Ladd procedure for adult malrotation with Volvulus","volume":"61","author":"Brady","year":"2018","journal-title":"Dis Colon Rectum"},{"key":"B12","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2022\/6874885","article-title":"Adult intestinal malrotation treated with laparoscopic Ladd procedure","volume":"2022","author":"Mizuta","year":"2022","journal-title":"Case Rep Surg"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1756065\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T06:40:43Z","timestamp":1768372843000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1756065\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,14]]},"references-count":12,"alternative-id":["10.3389\/fsurg.2025.1756065"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2025.1756065","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,14]]},"article-number":"1756065"}}