The adiabatic theory of strong-field ionization is extended to the specific configuration in which ionization occurs from a vortex orbital in an axially symmetric target by an elliptically polarized pulse with small ellipticity and the major axis of the polarization ellipse directed along the vortex axis of the initial state. Generation of vortex electrons in the continuum, their propagation in the laser field, and subsequent rescattering on the parent ion are described. Adiabatic asymptotics of the rescattering parts of the solution to the time-dependent Schr\"odinger equation and the ionization amplitude are obtained. On the basis of these results, the factorization formula giving the photoelectron momentum distribution (PEMD) in the vicinity of a backward rescattering caustic is derived. Our interest in the present configuration stems from the fact that, because of the nonzero ellipticity of the field, liberated vortex electrons arrive for rescattering with a nonzero impact parameter. The corresponding scattering amplitude generalizes the recently introduced vortex scattering amplitude characterizing head-on vortex-target rescattering in the linear polarization case [O. I. Tolstikhin and T. Morishita, Phys. Rev. A 99, 063415 (2019)]. Using the factorization formula, one can extract the absolute value of this generalized scattering amplitude from the observable PEMD, which opens a new window for target structure imaging in strong-field physics. The theory is illustrated by calculations for two atomic targets, ${\mathrm{He}}^{+}(2p,m=1)$ and $\mathrm{Xe}(5p,m=1)$. We show that in the case of the initial $\ensuremath{\pi}$ orbital and nonzero ellipticity not only the absolute values of two head-on scattering amplitudes with $m=0$ and 1, but also their phase difference as functions of the scattering angle can be extracted from the PEMD.
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