AbstractHuman adenovirus (HAdV) types F40 and F41 are a leading cause of diarrhoea in children, a prominent cause of childhood mortality worldwide. Here we present the first structure of an enteric HAdV – HAdV-F41 – determined by cryo-EM to a resolution of 3.8Å. The structure reveals extensive alterations to the virion exterior as compared to respiratory and ocular HAdVs, including a unique arrangement of capsid protein IX. In other HAdVs, this protein forms a rigid, virion-covering mesh. In HAdV-F41 its divergent C-terminal half is instead flexible and directed to the outside of the virion in a unique arrangement. We propose the identity of a previously unknown protein – spatially conserved in all HAdV structures determined to date – to be protein V, which bridges the outer, major capsid proteins to the genome and core proteins. We further describe the assembly-induced conformational changes in the penton base protein, a hub connecting the icosahedral capsid to the short and long fibre proteins. These changes include ordering of the penton base’s N-terminus, two loop regions and an α-helix. Our findings provide the structural basis for adaptation to a fundamentally different tissue tropism of enteric HAdVs.