Dorsal mesenteric agenesis without small bowel atresia: a rare cause of midgut volvulus in children

Cascio, Salvatore; Tien, Alan; Agarwal, Prakash; Tan, Hock Lim

doi:10.1016/j.jpedsurg.2006.05.011

Cited by 8 publications

(8 citation statements)

References 4 publications

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“…It is during this stage that the final mesenteric attachments with the abdominal wall are formed [10]. Postnatally, the superior mesentery extends from the distal end of the oesophagus, through the stomach to the duodenum, and forms the lesser omentum and ligaments of the liver, whereas the dorsal mesentery runs along the entire length of the peritoneum [15]. The pathogenesis of mesenteric malformations is still not well understood.…”

Section: Discussionmentioning

confidence: 99%

“…Developmental abnormalities may occur at any stage of mesenteric formation and affect different segments of the mesentery. These defects may affect the entire length of the mesentery (basal defects) or only some of its segments (segmental defects) [10,15]. The possible causes of mesenteric abnormalities are mesenteric atresia during prenatal development or developmental restriction of mesenteric blood supply caused by its too rapid elongation.…”

Section: Discussionmentioning

confidence: 99%

“…The complex mechanism of mesentery formation during fetal development and its direct influence on intestinal development may result in a variety of malformations [6,[11][12][13]. However, cases have been described in which the abnormal development of the mesentery was an isolated abnormality, and the intestine developed properly due to the formation of collateral circulation [4,14,15].…”

Section: Introductionmentioning

confidence: 99%

“…The mesenteric defects predispose the foal to increased intestinal mobility within the peritoneal cavity, which may lead to subsequent development of various types of colic [7,10,14,15,17]. The described case of congenital defect of the mesenteric colon is an example of a rare developmental disorder that can cause colic in foals, not previously described thoroughly in the literature.…”

Section: Introductionmentioning

confidence: 99%

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Malformation of a Mesocolon as a Cause of Colic in an Arabian Foal

Turek

Stefanik

Kozłowska

et al. 2021

Veterinary Sciences

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This paper describes a case of partial lack of the mesocolon in a 7-month-old colt. The foal was referred to the hospital with clinical signs of severe abdominal distension of a few hours duration. Because analgesics did not relieve pain, the foal remained uncomfortable, and distension of the abdomen increased; an exploratory laparotomy was performed under general anaesthesia in dorsal recumbency. The final diagnosis was confirmed intraoperatively. During exploration of the abdominal cavity, other problems like right dorsal displacement and torsion of the colon were recognized. Correction of all problems was completed, and the mesentery was sutured. Recovery from anaesthesia was uneventful. The foal was recovering well a few months after surgery, and the owner did not complain about the results of the treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Malformation of a Mesocolon as a Cause of Colic in an Arabian Foal

Turek

Stefanik

Kozłowska

et al. 2021

Veterinary Sciences

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“…Mesenteric hernias are a rare type of internal hernia; they can be divided into transmesenteric (hernia due to defect of the mesentery) or mesenteric pouch hernias [1] . Mesenteric defects cause a wide spectrum of lesions, ranging from a hernia involving a short segment of the small bowel to a lesion involving the entire base of the mesentery [2] . Treves ' fi eld mesenteric hernia (TFMH) is a variety of mesenteric hernia and is defi ned as a defect in the ileum of the mesentery, circumscribed by the branch of the superior mesenteric artery [3,4] .…”

Section: Introduction ▼mentioning

confidence: 99%

Surgical Repair of Treves’ Field Mesenteric Hernia: Use of the Purse-string Technique

Çakmak¹,

Şenyücel²,

Aslan³

et al. 2011

Eur J Pediatr Surg

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Prenatal imaging features and perinatal outcomes of foetal volvulus–A literature review

et al. 2022

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Objective To conduct a review of the literature on foetal volvulus with emphasis on prenatal imaging, pregnancy characteristics and clinical outcomes. Methods A review of all published cases of foetal volvulus diagnosed prenatally and indexed in Medline, EBSCOhost, CINAHL, SOCIndex and Healthy Policy Reference Centre. Studies without antenatal sonographic signs of foetal volvulus and without a postpartum surgical diagnosis were excluded. Data were analysed for frequencies and distributions and tested for statistical significance. Results Eighty‐eight cases of foetal volvulus were identified from 58 published case reports/series. The most common ultrasound findings were dilated bowel/stomach (77.3%), polyhydramnios (30.7%) and whirlpool/snail sign (28.4%). Median gestation at diagnosis was 31.9 weeks (IQR 27–34) and mean gestation at delivery was 34.5 weeks (SD 2.8). Underlying aetiology included intestinal malrotation (15.9%), cystic fibrosis (14.8% of all cases, 32.5% of tested cases) and abnormal mesenteric fixation (12.5%). Complications included intestinal atresia (36.4%) and foetal anaemia (9.1%). The overall perinatal mortality rate was 14.5%. Conclusion Foetal volvulus is a rare condition with high rates of preterm birth and perinatal mortality. Intestinal malrotation and cystic fibrosis are common predisposing causes, although the majority are idiopathic. Bowel and/or gastric dilatation is by far the most common sonographic finding.

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Dorsal mesenteric agenesis without small bowel atresia: a rare cause of midgut volvulus in children

Cited by 8 publications

References 4 publications

Malformation of a Mesocolon as a Cause of Colic in an Arabian Foal

Malformation of a Mesocolon as a Cause of Colic in an Arabian Foal

Surgical Repair of Treves’ Field Mesenteric Hernia: Use of the Purse-string Technique

Prenatal imaging features and perinatal outcomes of foetal volvulus–A literature review

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