Case Report: Midgut malrotation presenting as left-sided appendicitis with secondary omental torsion: a diagnostic challenge in a child

When children present with left-sided appendicitis and omental abnormalities, congenital midgut malrotation should be considered early in the diagnostic process to optimize preoperative planning. Ultrasound is invaluable for detecting omental changes, whereas an upper gastrointestinal contrast study remains the reference test for confirming malrotation in stable patients. This case underscores the importance of close collaboration between pediatric radiologists and surgeons in managing atypical acute abdomen.