DOI: https://doi.org/10.36347/sjmcr.2025.v13i10.001

Pages: 2186-2188

Small Bowel Volvulus on the Common Mesentery is a twisting of the small intestine, often caused by congenital intestinal malrotation. This pathology constitutes a surgical emergency, requiring rapid diagnosis and immediate management to prevent severe complications such as intestinal infarction. Surgical treatment, consisting of detorsion of the intestine and repositioning of the organs, with an excellent prognosis in the absence of intestinal necrosis. We report the case of a female newborn, 4 days old, preterm at 34 weeks and 6 days gestation. She was initially admitted at 2 days of life for neonatal respiratory distress and presented with bilious vomiting and cessation of transit on day 3. Plain abdominal X-ray showed a 'double bubble sign,' and Doppler ultrasound revealed a 'Whirlpool sign,' which led to the diagnosis of small bowel volvulus on the common mesentery.