Abstract
We report the case of a 28-year-old man transferred to our hospital because of epigastric pain. Abdominal computed tomography (CT) showed intestinal malrotation and midgut volvulus. He was hospitalized for conservative treatment because only slight dilatation was observed from the stomach to the upper small intestine. Abdominal contrast-enhanced CT on hospital day 2 showed a superior mesenteric vein rotation sign. He was diagnosed with nonrotation-type intestinal malrotation, and underwent a laparoscopic Ladd procedure. The postoperative course was good, he was discharged on postoperative day 6, and there was no recurrence. For preoperative diagnosis of intestinal malrotation, CT and patient history are essential. A laparoscopic Ladd procedure may be useful if preoperative diagnosis is possible.
