Abstract
Intestinal malrotation is a rare congenital anomaly that often presents as an acute surgical emergency in neonates, requiring prompt diagnosis and intervention to prevent life-threatening complications. We report the case of a 14-day-old male infant who presented with a 24-h history of bilious vomiting and bloody stools, accompanied by severe dehydration and laboratory findings suggestive of volvulus. Imaging studies confirmed intestinal malrotation, and the patient underwent an urgent open Ladd's procedure, which revealed malrotation without volvulus. The patient successfully recovered with the resolution of symptoms and normalization of laboratory parameters. This case underscores the importance of early recognition, timely surgical management, and multidisciplinary care in ensuring favorable outcomes for neonates with intestinal malrotation.