An interesting twist: 90 year-old female with acute small bowel obstruction due to midgut volvulus.

We report an exceptionally rare presentation of midgut volvulus secondary to malrotation in a nonagenarian female. According to our extensive literature review, this 90-year-old female is the oldest reported case of midgut volvulus. This patient presented with acute recurrent emesis.

Rural secondary school leaver attainment inequities for students entering medical programmes in Aotearoa New Zealand.

The education literature suggests that there are rural-urban differences in educational achievement. Lower educational achievement in rural schools may impact entry into highly competitive medical programmes and disadvantage rural students. Within this study, the National Certificate of Educational Achievement (NCEA) and University Entrance (UE) attainment rates are compared across Aotearoa New Zealand secondary schools for 2012-2021.