Acute cecal volvulus and large bowel obstruction in a patient with persistent Ladd bands and chronic malrotation: case report and review of literature.

Cecal volvulus occurs when the ascending colon and terminal ileum twist around the mesenteric pedicle, compromising bowel perfusion and leading to obstruction. This condition may result from congenital or acquired abnormalities affecting cecal fixation. Intestinal malrotation is rare in adults and is usually asymptomatic. We report the case of a 50-year-old male who presented with a large bowel obstruction due to cecal volvulus associated with chronic malrotation and Ladd bands. He underwent successful surgical treatment and was discharged home. This report discusses the atypical anatomy, clinical presentation, and diagnostic challenges of such cases.