Asymptomatic Intestinal Malrotation Progressing to Midgut Volvulus in a Decompensated Alcoholic Cirrhotic Adult: A Rare Scenario Requiring Special Considerations

Figure 1

Abdominal computed tomography four years prior to current hospital presentation with incidental classic findings of intestinal malrotation. (a) Transverse plane at the second lumbar vertebral level demonstrating the duodenojejunal junction (DJJ) at the right of the midline and the superior mesenteric vein (SMV) to the left of the superior mesenteric artery (SMA). (b) Transverse plane at the third lumbar vertebral level further demonstrating the duodenojejunal junction (DJJ) at the right of the midline and the superior mesenteric vein (SMV) to the left of the superior mesenteric artery (SMA), as well as the absence of a retroperitoneal third portion of the duodenum ().

(a)

(b)