Intestinal malrotation as a misdiagnosis of pediatric colchicine resistant familial Mediterranean fever

BACKGROUND: Familial Mediterranean fever (FMF) is a disorder characterized by recurrent attacks of fever and serosal inflammation, particularly abdominal pain. Other disease processes, including medical and surgical emergencies, may mimic FMF, especially in atypical cases. CASE PRESENTATION: We present a case of an adolescent male, referred to us with a diagnosis of colchicine resistant FMF, ultimately diagnosed with intestinal malrotation and recurrent volvulus. CONCLUSIONS: In atypical presentations of FMF with potential “red flags”, a thorough patient history is extremely important and should result in prompt referral for the appropriate diagnostic tests.