Objective To analyze the CT imaging features of 15 patients with Midgut malrotation,in order to improve the accuracy of imaging diagnosis and reduce misdiagnosis.Methods The CT imaging data of 15 patients with Midgut malrotation were retrospectively analyzed and summarized.Results Among the 15 patients,11 cases showed"Vortex sign",9 cases showed"Transposition sign"of the arteriovenous position of mesentery,4 cases showed ileocecal ectopia,1 case showed duodenum ectopia,1 case showed transverse colon ectopia;there were 1 case complicated with ectopic appendicitis,1 case complicated with smallbowel obstruction and 1 case complicated with mild low level obstruction of common bile duct.Conclusion The CT findings of the Midgut malrotation in adults may have some specific certain specificity,such as"Vortex sign"and the"Transposition sign"of the arteriovenous position of mesentery,closely combined with clinical symptoms,and a careful analysis of the imaging manifestations,can improve the accuracy of imaging diagnosis and reduce misdiagnosis.