Midgut volvulus is a rare complication of intestinal malrotation in adults. We present a case of intestinal malrotation with surgically proven midgut volvulus. Multidetector computed tomography with postprocessing of imaging data using three-dimensional reconstruction techniques provided better demonstration of the abdomen than other imaging modalities. To our knowledge, this is the first presentation of midgut volvulus on multidetector computed tomography in adults. The literature on midgut volvulus is also reviewed and imaging findings of this disease are discussed.