eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2026-04-23 14 3 42 44 10.12691/ajmcr-14-3-2 AJMCR20261432 article Dr Zaka Ur Rab Siddiqui 1 Fatima Hussain 2 Consultant General And Laparoscopic Surgeon Al Iman General Hospital Riyadh First Health Cluster Riyadh. Saudi Arabia Resident Physician Al Iman General Hospital Riyadh First Health ClusterRiyadh. Saudi Arabia Midgut volvulus is a surgical emergency where the small intestine twists around its blood supply (the superior mesenteric artery and vein), obstructing blood flow and potentially leading to tissue damage. It's more common in infants with intestinal malrotation, a condition where the intestines don't rotate correctly during development, but it can also occur in adults. In this article, we are reporting an interesting case report of mid gut volvulus with early ischemic changes due to undiagnosed mesenteric lymphagioma in an adult. https://pubs.sciepub.com/ajmcr/14/3/2/ajmcr-14-3-2.pdf Midgut Volvulus ishemic bowel mesenteric lymphangioma intestinal obstruction