Intestinal Malrotation in the Adult

Older patients may present with acute volvulus or obstruction but more often will seek care for nonspecific abdominal pain, nausea with bilious or nonbilious emesis, and weight loss. 3 Since malrotation is rare in adults, the diagnosis is often delayed. 3 We present 2 cases of intestinal malrotation in adults. There was an initial concern for extrinsic duodenal compression on upper endoscopy; however, contrast-enhanced CT, UGI with small bowel follow through, and magnetic resonance enterography all revealed no obstruction and no functional abnormalities. [...]a high index of suspicion is necessary for patients who present with chronic abdominal symptoms in order to ensure a timely diagnosis and appropriate management of adults with intestinal malrotation. 4 Declaration of Conflicting Interests The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.