A Rare Presentation of Midgut Malrotation as an Acute Mesenteric Ischaemia in an Adult with Bilateral Renal Calculi and Bilateral Renal Cortical Cysts

Midgutmalrotation refers to twisting of the entire midgut about the axis of the superior mesenteric artery. Malrotation occurs in approximately 1 in 500 live births. However, the true incidence of malrotation is unknown, since many asymptomatic patients fail to present. Approximately 90% of patients with malrotation are diagnosed within the first year of life, 80% of whom are diagnosed within the first month of life. Thereafter, it can present in adults of any age. In our study 68 year old male presented with pain abdomen. CECT demonstrated malrotation and acute mesentericischaemia. Superior mesenteric vein thrombosis is the cause for acute mesenteric ischaemia which is account for 5%–10%.Mesentricischaemia is divided into acute and chron based upon the rapidity and the degree to which the blood flow is compromised. The purpose of this article is to document in understanding of malrotation and acute bowel ischemia and to define the role of CECT in the diagnosisof Superior mesenteric venous thrombosis. The authors reviewed this case and diagnosed by computed tomography and they confirmed by surgery and clinical follow-up.