Ladd's band in the adult, an unusual case of occlusion: Case report and review of the literature.

•Malrotation of gut is a congenital anomaly of foetal intestinal rotation and is very rare and often silent in adults.•We performed a laparotomic Ladd’s procedure in a case of 44 year old woman with acute abdominal pain.•Intestinal malrotation is a rare entity and adult presentation is even rarer.•Some cases are asymptomatic, but when symptomatic a volvulus should be promptly suspected to avoid complications such as bowel ischemia.