Midgut malrotation (MM) is a rare congenital abnormality that is usually diagnosed early in life during the neonatal period or the first year of life. In some rare cases, the patient may remain asymptomatic or with only mild nonspecific symptoms that delay the diagnosis until late adulthood. These nonspecific gastrointestinal symptoms can culminate in an adhesive bowel obstruction or volvulus making the presentation a surgical emergency. In our case, we present a 73‐year‐old male with nonspecific symptoms that led to the diagnosis of adhesive obstruction of the duodenum from Ladd bands due to undiagnosed MM. A laparotomy with Ladd’s procedure was performed.