MID GUT VOLVULUS WITH REVERSE ROTATION OF GUT - A RARE CAUSE OF ACUTE INTESTINAL OBSTRUCTION IN A PREGNANT LADY

Reversed rotation of mid gut the most unusual presentation of intestinal malrotation is responsible for only 2 to 4 of all rotational abnormalities of the midgut. It was first described in late 1800 and occurs when the midgut loop rotates wrongly in clockwise 90 rather than normal anti-clockwise 270. As a result, the duodenum and transverse colon are in an inverted position and transverse colon lies behind the superior mesenteric artery and anteriorly placed duodenum.Here we report a rare case of a pregnant lady with reverse rotation of gut presenting as midgut volvulus in second trimester for which surgery was done and the patient recovered uneventfully. Foetal outcome was unaffected by the surgery. We also present a review of the available literature.