Intestinal Malrotation: Pathophysiology, Imaging Features, Diagnosis, and Management
Introduction Intestinal malrotation is a rare but clinically significant congenital anomaly of intestinal rotation and fixation. Although typically diagnosed in infancy, it can occasionally present in adulthood with atypical features such as chronic abdominal pain, intermittent vomiting, or even life-threatening midgut volvulus. This article provides a comprehensive overview based on the latest global literature , while integrating illustrative radiographic and CT images for accurate interpretation. Case Summary A 59-year-old woman presented with chronic abdominal pain . Radiographs and CT scans revealed abnormal positioning of the small and large intestines, with features consistent with intestinal malrotation . Imaging Findings from the Case [Figure 1] Simple abdomen X-ray (A: Erect, B: Supine): Dilated colonic loops clustered in the left hemiabdomen , with small bowel loops predominantly in the right hemiabdomen . Interpretation: Suggestive of abnormal intestinal pos...