Intestinal malrotation consists of a congenital alteration resulting from failure during the return of the intestine to the abdominal cavity after its formation during embryogenesis. Rare are the cases of intestinal malrotation that are diagnosed in adult life, and it must be considered as an important differential diagnosis for intestinal obstruction in non-pediatric patients, given its potential for complications due to the diagnostic difficulty. This paper deals with the case of a 26-year-old patient with an acute obstructive abdomen who underwent the Ladd procedure for the treatment of intestinal malrotation, with good postoperative evolution, as well as a review of the current literature.
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