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
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Kotobi H, Gallot D. Complications des anomalies embryologiques de la rotation intestinale : prise en charge chez l'adulte,EMC – Chirurgie. 2004:1(4):413-425, Available:https://doi.org/10.1016/j.emcchi.2004.05.001.
ISSN:1762-570X
Oudou AZ, Soumana ID, Souiki T, Majdoub K, Toughrai I, Laalim SA, Mazaz K. Volvulus total du grêle sur mésentère commun incomplet, une complication exceptionnelle chez l’adulte: à propos d’un cas [Total smallbowel volvulus complicating common incomplete mesentery, an exceptional complication in adults: about a case]. Pan Afr Med J. 2019 Jul 17;33:220. French. DOI: 10.11604/pamj.2019.33.220.18159. PMID: 31692801; PMCID: PMC6814366.
Israelit S, Brook OR, Nira BR, Guralnik L, Hershko D. Left-sided perforated acute appendicitis in an adult with midgut malrotation: the role of computedt omography.EmergRadiol.2009;16(3):217-8.
DOI:10.1007/s10140-008-0746-x. Epub 2008 Jul 19. PMID: 18642038.
Gamblin TC, Stephens RE Jr, Johnson RK, Rothwell M. Adult malrotation: A case report and review of the literature. CurrSurg. 2003;60(5):517-20. DOI: 10.1016/S0149-7944(03)00030-8.
PMID: 14972216.
Jarry J, Razafindratsira T, Bodin R, Lepront D, Durand-Dastes FGamblin TC, Stephens RE Jr, Johnson RK, Rothwell M. Adult malrotation: a case report and review of the literature. CurrSurg. 2003;60(5):517-20. DOI: 10.1016/S0149-7944(03)00030-8. PMID: 14972216.
Fukuya T, Brown BP, Lu CC. Midgut volvulus as a complication of intestinal malrotation in adults. Dig Dis Sci. 1993;38(3):438-44. DOI:10.1007/BF01316496. PMID: 8444073.
Konings-Beetstra EI, van der Jagt EJ. Malrotation of the midgut: a rare complication in an adult patient. Eur J Radiol. 1990;11(1):73-7. DOI: 10.1016/0720-048x(90)90107-m. PMID: 2397731.
Amaral L, Quintanilha R, Bernardo L, Eloi T, Bento F, Santos V. Intestinal malrotation in the elderly. Am Surg. 2009;75(7):631-3.
PMID: 19655613.
Bodard E, Monheim P, Machiels F, Mortelmans LL. CT of midgut malrotation presenting in an adult. J Comput Assist Tomogr. 1994;18(3):501-2. DOI:10.1097/00004728-199405000-00031. PMID: 8188926.
Ferguson L, Higgs Z, Brown S, McCarter D, McKay C. Intestinal volvulus following laparoscopic surgery: a literature review and case report. J Laparoendosc Adv Surg Tech A. 2008;18(3):405-10.
DOI: 10.1089/lap.2007.0027. PMID: 18503375.
Geoghegan JG, Maher M, McNally OM, Kirwan WO. Acute midgut volvulus following laparoscopic cholecystectomy. Surg Endosc. 1994;8(8):903. DOI:10.1007/BF00843467. PMID: 7992161.
Lay PS, Tsang TK, Caprini J, Gardner A, Pollack J, Norman E. Volvulus of the small bowel: an uncommon complication after laparoscopic cholecystectomy. J Laparoendosc Adv Surg Tech A. 1997;7(1):59-62.
DOI: 10.1089/lap.1997.7.59. PMID: 9453866.
Vricella LA, Barrett WL, Tannebaum IR. Intestinal obstruction from midgut volvulus after laparoscopic cholecystectomy. A report of an unusual complication. SurgEndosc. 1999;13(12):1234-5.
DOI: 10.1007/pl00009628. PMID: 10594273.
Robeley E, Desmettre T. Appendicite à gauche révélant un mésentère commun. Annales françaises de médecine d’urgence. 2018;8(2):122-123.
Aissaoui R, Nasri S, Mahjouba H, Lokman S, Aichouni N, Kamaoui I, Skiker I. Complete common mesentery revealed by acute perforated appendicitis: case report and review of the literature. Radiol Case Rep. 2022;18(2):441-443. DOI: 10.1016/j.radcr.2022.10.069. PMID: 36439920; PMCID: PMC9691411.
Orzech N, Navarro OM, Langer JC. Is ultrasonography a good screening test for intestinal malrotation? J Pediatr Surg. 2006;41(5):1005-9. DOI:10.1016/j.jpedsurg.2005.12.070. PMID: 16677901.
Yahia DBH, Atri S, Sebei A, Chaker Y, Maghrebi H, Kacem MJ. Caecal volvulus in an adult with an incomplete common mesentery: A case report. Int J Surg Case Rep. 2023;108:108353. DOI:10.1016/j.ijscr.2023.108353.
Epub 2023. PMID: 37320977; PMCID: PMC10382718.
Guingané A, Sawadogo J, Koama A, Tiemtoré-Kambou B, Sombié R, Bougouma A. Incomplete Situs Inversus Revealed by Acute Pain of the Right Hypochondrium. Open Journal of Gastroenterology. 2022;12:263-270.
DOI: 10.4236/ojgas.2022.1210026.
Dietz DW, Walsh RM, Grundfest-Broniatowski S, Lavery IC, Fazio VW, Vogt DP. Intestinal malrotation: a rare but important cause of bowel obstruction in adults. Dis Colon Rectum. 2002;45(10):1381-6.
DOI:10.1097/01.DCR.0000029637.48119.8D. PMID: 12394439.
Gamblin TC, Stephens RE Jr, Johnson RK, Rothwell M. Adult malrotation: a case report and review of the literature. CurrSurg. 2003;60(5):517-20. DOI: 10.1016/S0149-7944(03)00030-8. PMID: 14972216.
Pracros JP, Sann L, Genin G. et al. Ultrasounddiagnosis of midgut volvulus: the “whirlpool” sign. PediatrRadiol 1992;22:18–20. Available:https://doi.org/10.1007/BF02011603
Grassi C, Conti L, Palmieri G, Banchini F, Dacco' MD, Cattaneo GM, Capelli P. Ladd's band in the adult, an unusual case of occlusion: Case report and review of the literature. Int J Surg Case Rep. 2020;71:45-49.
DOI: 10.1016/j.ijscr.2020.04.046. Epub 2020. PMID: 32438336; PMCID: PMC7240054.
Shyam DC, Shyam RC. Small bowel volvulus in adult: a review of literature. European Journal of Medical and Health Sciences. 2020;2(3).