HighlightsCongenital intestinal malrotation can go undiagnosed late in life and as late as into 90 years of age.CT imaging is necessary for diagnosed yet can be misleading in the presence of other ongoing pathologies.Lactic Acidosis and peritonitis in the setting of malrotation are a surgical emergency.Careful and thorough review with awareness of “classic” radiographic signs of malrotation are important for diagnosis.
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