Background: Cecal volvulus occurs due to torsion or hyper-flexion of an enlarged, poorly fixed hyper-mobile cecum. Intestinal malrotation occurs due to incomplete or faulty rotation and fixation of the gut in fetal life. Combination of these two conditions is rare. Case Report: Here we report a 15 year old male child presenting with acute onset pain abdomen with vomiting. On evaluation child was found to have cecal volvulus and associated malrotation. The child was treated successfully with surgery. Conclusion: Cecal volvulus is medical emergency that requires high index of clinical suspicion for its diagnosis.