Caecal Volvulus on Complete Common Mesentery: A Case Report

Total small bowel volvulus on incomplete common mesentery, an exceptional complication in geriatric patients: A rare case report

“…The incomplete common mesentery results from a rotational anomaly of the digestive tract [ 1 , 2 ]. It is characterized by the persistence of an embryonic anatomical arrangement of the bowels due to an incomplete rotation of the primitive umbilical loop [ 3 ].…”

“…It is characterized by the persistence of an embryonic anatomical arrangement of the bowels due to an incomplete rotation of the primitive umbilical loop [ 3 ]. The entire intestinal loop shares thus one common mesentery which has an extremely short root [ 1 , 2 ]. This rotation deficiency is most often associated with a defect of attachment [ 4 , 5 ].…”

“…This rotation deficiency is most often associated with a defect of attachment [ 4 , 5 ]. Dreadful and even fatal complications of this intestinal malrotation usually occur during the neonatal period or at pediatric age [ 2 ]. The prevalence of these congenital malformations in adulthood is estimated to range between 0.2 % and 0.5 % [ 2 , 6 ].…”

“…Dreadful and even fatal complications of this intestinal malrotation usually occur during the neonatal period or at pediatric age [ 2 ]. The prevalence of these congenital malformations in adulthood is estimated to range between 0.2 % and 0.5 % [ 2 , 6 ]. At this stage, they frequently exhibit an asymptomatic course, leading to challenges in diagnosis [ 2 ].…”

“…The prevalence of these congenital malformations in adulthood is estimated to range between 0.2 % and 0.5 % [ 2 , 6 ]. At this stage, they frequently exhibit an asymptomatic course, leading to challenges in diagnosis [ 2 ]. Radiological imaging plays an essential role in diagnosis, but the treatment must not be delayed due to the high risk of mesenteric and intestinal infarction [ 2 ].…”