Midgut malrotation and internal herniation due to Ladd's band in adults is sparsely described. Due to the low incidence and the uncharacteristic symptoms, the diagnosis and treatment is often delayed causing increased morbidity. In this case report, a 68-year-old man was hospitalised with severe abdominal pain. A computed tomography showed abnormal placement of the small bowel loops and torsion of the small bowel mesentery. He underwent a laparoscopic procedure which revealed internal herniation due to a Ladd's band. He recovered uneventfully, and an elective Ladd's procedure was scheduled.
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