The conundrum of intestinal malrotation in an irreducible inguinal hernia

Abstract

Intestinal malrotation is a rare embryological abnormality, with an estimated incidence of 0.2–1%. Adult cases of intestinal malrotation often present a diagnostic dilemma and in many instances are usually discovered incidentally intraoperatively or during routine investigation. In this case report, we highlight one such case of an incidental finding of incomplete intestinal malrotation in a patient presenting with an irreducible left inguinal hernia.