HighlightsMidgut volvulus secondary to intestinal malrotation is a rare cause of acute abdomen in adults.There are only 92 reported cases in the literature.Diagnosis of the midgut volvulus was predominantly made via CT (67%) but also by ultrasound (15%) and theatre (18%).Midgut volvulus is associated with a high risk of ischaemia and necrosis of bowel supplied by the SMA (35).There is a 5% associated mortality rate.

Close monitoring of the patient's general condition in cases of non-specific abdominal pain is essential to identify the rare deteriorating patient for early surgical intervention and optimal outcome.

To support the global restart of elective surgery, data from an international prospective cohort study of 8492 patients (69 countries) was analysed using artificial intelligence (machine learning techniques) to develop a predictive score for mortality in surgical patients with SARS-CoV-2. We found that patient rather than operation factors were the best predictors and used these to create the COVIDsurg Mortality Score (https://covidsurgrisk.app). Our data demonstrates that it is safe to restart a wide range of surgical services for selected patients.

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