Title: Partial malrotation of the bowel in an adult patient presenting with abdominal pain
Abstract: A 60-year-old man was presented with colicky upper left abdominal pain and vomiting. Haematology and biochemistry were unremarkable and there had been no recent change in bowel habits.
An initial non-contrast abdominal CT, performed due to the provisional diagnosis of left renal colic, revealed a midline caecum (figure 1) and an absence of small bowel in the left abdomen (figure 2). The superior mesenteric vein was located anterior to the superior mesenteric artery (figure 3) and the duodenal–jejunal junction was present on the right side, failing to cross the midline (figure 4). The findings were consistent with partial malrotation …