Adult Common Mesentery in Small Bowel Volvulus: A Rare Case Report
Published: 2023-09-22
Page: 476-482
Issue: 2023 - Volume 6 [Issue 2]
Ouhammou Yousra *
Department of Surgical Emergency, Visceral Surgery, Avicenna, Rabat, Faculty of Medicine and Pharmacy of Rabat, Morocco.
Laamri Imad
Department of Surgical Emergency, Visceral Surgery, Avicenna, Rabat, Faculty of Medicine and Pharmacy of Rabat, Morocco.
Condé Abraham
Department of Surgical Emergency, Visceral Surgery, Avicenna, Rabat, Faculty of Medicine and Pharmacy of Rabat, Morocco.
EL Allami Youness
Department of Surgical Emergency, Visceral Surgery, Avicenna, Rabat, Faculty of Medicine and Pharmacy of Rabat, Morocco.
Abouelalaa Khalil
Department of Anesthesiology and Intensive Care, Head of the Operating Room Theatre Military Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Morocco.
Elabsi Mohammed
Department of Surgical Emergency, Visceral Surgery, Avicenna, Rabat, Faculty of Medicine and Pharmacy of Rabat, Morocco.
Alami F. H.
Department of Surgical Emergency, Visceral Surgery, Avicenna, Rabat, Faculty of Medicine and Pharmacy of Rabat, Morocco.
*Author to whom correspondence should be addressed.
Abstract
The common mesentery is a very rare anomaly of digestive tube rotation in adults. It exhibit shighly variable manifestations ranging from abdominal discomfort to acute intestinal obstruction, which presents the most dreaded complication among these manifestations. Nowadays, although the focus is on the progress of radiological imaging methods, the final diagnosis remains preoperative.
We report the case of a 34-year-old woman with a history of transit disorders, who was admitted to surgical emergencies with a presentation of high digestive obstruction lasting for 4 days. An abdominal X-ray revealed central air-fluid levels and a wide pattern, complemented by an abdomino pelvic CT scan showing a volvulus of the small intestine likely due to adhesions. Intra operatively, an obstruction of the small intestine was discovered with the involvement of the complete common mesentery.
Keywords: Volvulus, common mesentery, intestinal obstruction, small intestine