Abstract
A 66-year-old woman was admitted to our hospital with abdominal pain and vomiting. Abdominal computed tomography showed intestinal malrotation of the non-rotation type and bowel wall edema from the transverse to the descending colon. We diagnosed ischemic colitis associated with adult intestinal malrotation and conservative management was performed. After recovery from the symptoms, a colonoscopy was performed which showed ulcerative lesion of the descending colon wall and the pathological examination revealed chronic inflammatory cells and inflammatory granulation tissue. Cases of intestinal malrotation are usually diagnosed during the neonatal period. Although there have been few adult cases, our present extremely rare case was complicated with ischemic colitis.