{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T18:02:39Z","timestamp":1788544959218,"version":"build-2803163510"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Intestinal malrotation is a rare congenital anomaly that typically presents during infancy; adult presentations are uncommon and often manifest with vague, chronic gastrointestinal (GI) symptoms. We report a unique case of a woman in her 30s who presented with acute bilious vomiting, severe malnutrition and a 2-year history of post-prandial vomiting and weight loss. Imaging revealed high-grade distal duodenal obstruction, mesenteric swirling and an absent right colon. Laparoscopic exploration demonstrated Ladd\u2019s band duodenal obstruction, pre-superior mesenteric artery (SMA) malrotation or non-rotation with concomitant post-SMA reverse rotation and a separate bowel segment involved in a chronic midgut volvulus through an internal hernia defect \u2013 a combination not previously described. A laparoscopic Ladd\u2019s procedure with internal hernia reduction was carried out. Laparoscopic management of complex cases of intestinal malrotation is feasible. Clinicians should maintain a high index of suspicion for congenital anomalies in adults who present with duodenal obstruction or recurrent, unexplained GI symptoms.<\/jats:p>","DOI":"10.4103\/jmas.jmas_461_25","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T10:00:11Z","timestamp":1776074411000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Laparoscopic Ladd\u2019s procedure for triple obstruction in an adult: Ladd\u2019s band duodenal obstruction, chronic midgut volvulus through an internal hernia and a novel intestinal malrotation variant with concomitant post-superior mesenteric artery reverse rotation"],"prefix":"10.4103","author":[{"given":"Abhishet","family":"Varama","sequence":"first","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand"},{"name":"Department of Surgery, King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nimmita","family":"Srisan","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand"},{"name":"Department of Surgery, King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paisarn","family":"Vejchapipat","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand"},{"name":"Department of Surgery, King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sopark","family":"Manasnayakorn","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand"},{"name":"Department of Surgery, King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Voranaddha","family":"Vacharathit","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand"},{"name":"Department of Surgery, King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,13]]},"reference":[{"key":"R1-20260413","doi-asserted-by":"crossref","first-page":"3432","DOI":"10.18203\/2349-2902.isj20204149","article-title":"A rare acute presentation of intestinal malrotation in the elderly","volume":"7","author":"Adesuyi","year":"2020","journal-title":"Int Surg J"},{"key":"R2-20260413","doi-asserted-by":"crossref","first-page":"3553","DOI":"10.12998\/wjcc.v8.i16.3553","article-title":"Intestinal obstruction in pregnancy with reverse rotation of the midgut:A case report","volume":"8","author":"Zhao","year":"2020","journal-title":"World J Clin Cases"},{"key":"R3-20260413","article-title":"Reversed intestinal malrotation presenting as bowel obstruction in pregnancy:Case report and literature review","volume":"82","author":"Bhartiya","year":"2022","journal-title":"Ann Med Surg (Lond)"},{"key":"R4-20260413","first-page":"1","article-title":"Twist without a turn:A rare case report of mal-rotated gut with caecal and ascending colon volvulus in an adult","volume":"5","author":"Chaudhary","year":"2023","journal-title":"Am J Surg Case Rep"},{"key":"R5-20260413","doi-asserted-by":"crossref","first-page":"108881","DOI":"10.1016\/j.ijscr.2023.108881","article-title":"Reversed midgut rotation revealed by cecal volvulus in the elderly:A case report","volume":"111","author":"Landolsi","year":"2023","journal-title":"Int J Surg Case Rep"}],"container-title":["Journal of Minimal Access Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_461_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:54:19Z","timestamp":1786647259000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_461_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,13]]},"references-count":5,"URL":"https:\/\/doi.org\/10.4103\/jmas.jmas_461_25","relation":{},"ISSN":["0972-9941","1998-3921"],"issn-type":[{"value":"0972-9941","type":"print"},{"value":"1998-3921","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,13]]},"assertion":[{"value":"2025-10-22","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-16","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}