Malrotation of gut is a congenital developmental anomaly of foetal intestinal rotation and mostly present in early childhood as acute intestinal obstruction. Progression and presentation in adults is very rare and often silent. Delayed diagnosis is a common feature in many cases due to atypical presentation and leads to more complications. We present a case of 26 year old women who presented with repeated episodes of pain abdomen and preoperative evaluation on contrast enhanced CT Scan showed intestinal malrotation. Laparoscopic Ladd’s procedure was done successfully with division of Ladd’s band, adhesiolysis, widening of mesentry and appendicectomy. The patient had an uneventful postoperative recovery. Here we discuss the rarity of intestinal malrotation in adults and various treatment options available in literature review.