Intestinal volvulus is a rare but life-threatening surgical emergency. Volvulus without malrotation is extremely rare, only few cases are reported till now in literature [1]. Prompt diagnosis and urgent surgical treatment is required if bowel necrosis is to be prevented, which is associated with increased mortality. We present a case of new born preterm baby (32 weeks) who presented with distension of abdomen immediately after birth which was gradually increasing. An USG abdomen revealed a “whirlpool sign” in the umbilical region, suggesting small bowel volvulus with intestinal obstruction. Laparotomy revealed a twisted, necrosed loop of small bowel in the umbilical region with abnormal adhesions between the distal ileum and caecum with mesenteric narrowing. Subsequent resection of the involved segment was done. Baby was discharged in stable condition on 7th post-operative day.

Keywords:Volvulus; Malrotation; Bowel Necrosis; Gangrenous.