Total Small Bowel Volvulus on Common mesentery: A Case Report
Published: 2022-07-11
Page: 223-227
Issue: 2022 - Volume 5 [Issue 1]
M. Bouali
Visceral Emergency Service, Department of General Surgery, University Hospital Center Ibn Rochd Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan 2 University, Casablanca, Morocco.
K. Kamal *
Visceral Emergency Service, Department of General Surgery, University Hospital Center Ibn Rochd Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan 2 University, Casablanca, Morocco.
A. El Bakouri
Visceral Emergency Service, Department of General Surgery, University Hospital Center Ibn Rochd Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan 2 University, Casablanca, Morocco.
K. El Hattabi
Visceral Emergency Service, Department of General Surgery, University Hospital Center Ibn Rochd Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan 2 University, Casablanca, Morocco.
F. Z. Bensardi
Visceral Emergency Service, Department of General Surgery, University Hospital Center Ibn Rochd Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan 2 University, Casablanca, Morocco.
A. Fadil
Visceral Emergency Service, Department of General Surgery, University Hospital Center Ibn Rochd Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan 2 University, Casablanca, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Total small bowel volvulus on complete common mesentery is a rotation anomaly of the primitive intestinal loop, it is a classical pathology in the neonatal period, and exceptional in adults. It corresponds to an interruption of the intestinal rotation at 180°, thus constituting a common mesentery to the whole intestinal loop and a short root of the mesentery. This interruption of rotation is often accompanied by a defect of association. The diagnosis of total volvulus of the small intestine can be made either in an emergency following an acute occlusion or even a state of shock, or abdominal pain with transit disorders. We report the case of a 56-year-old female patient, admitted for an occlusive syndrome on total small bowel volvulus on common mesentery treated surgically by the LADD procedure.
Keywords: Small bowel volvulus on common mesentery, rotation abnormalities, LADD procedure