Adult Common Mesentery in Small Bowel Volvulus: A Rare Case Report
Ouhammou Yousra, Laamri Imad, Condé Abraham, EL Allami Youness, Abouelalaa Khalil, Elabsi Mohammed, Alami F. H.
Asian Journal of Case Reports in Surgery · pp. 476–482 · Published 22 Sep 2023
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.
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