Total Volvulus of the Small Intestine on Incomplete Common Mesentery, an Exceptional Complication in Adults: A Case Report

Ahmed Zeroual, Mohammed Essaid Ramraoui, Ahmed EL Guazzar, Mohamed Jawad Fassi EL Fihri, Hicham Baba, Mohammed Lahkim, Ahmed El Khader and Rachid El Barni

Department of Visceral Surgery, Avicenne Military Hospital, Marrakech, Morocco

^*Correspondance to: Ahmed Zeroual 

 PDF  Full Text Case Report | Open Access

Abstract:

Total volvulus of the small intestine complicating an incomplete common mesentery corresponds to a failure in the 180° rotation of the primitive intestinal loop. The mesenteric root is extremely short, and the entire small intestine is pedicled on the superior mesenteric arterial axis. This condition poses a high risk of small bowel volvulus and entero-mesenteric infarction. Acute volvulus necessitates emergency surgical intervention; imaging should not delay surgical management. The surgical procedure involves detorsion of the volvulus (counterclockwise rotation) and assessment of intestinal viability. The intestine is repositioned in a complete common mesentery configuration: the cecum is placed in the left iliac fossa. We report the case of a 60-year-old patient admitted for total volvulus of the small intestine on incomplete common mesentery, successfully operated on as an emergency, with a favorable postoperative outcome.

Keywords:

Total volvulus; Small intestine; Incomplete common mesentery; Rotation anomaly

Cite the Article:

.