A 5 Year-old girl was admitted with abdominal pain lasting for 24 hours. With the pre-operative diagnosis of acute generalized peritonitis due to perforated appendictis, a laparotomy was performed. Operative findings included intestinal volvulus involving a part of the ileum, cecum and ascending colon with an absence of the dorsal mesentery. In addition, a shortend intestinal loop presented such a figure of an "apple-peel" appearance as seen in the newborn babies with proximal jejunal atresia. Resection of the infarcted bowel was performed at the most peripheral part included in the volvulus, with the fixation of the cecum to the lateral abdominal wall. The post-operative course was uneventful for more than one year after surgery without any episodoes of recurrence.
