Total Small Bowel Volvulus on Incomplete Common Mesentery, an Exceptional Complication in Adults, Clinical Manifestation: A Case Report

Abstract

Introduction: Incomplete common mesentery is the result of a rotational abnormality of the digestive tract. It is characterized by the persistence of an anatomical arrangement. Secondary to a rotational anomaly of the omphalo-mesenteric duct, thus constituting a meso common to the entire intestinal duct and an extremely short root of the mesenterium .These abnormalities of intestinal rotationcan lead to dreadful and sometimes fatal complications. The diagnosis of small bowel volvulus can be made in a wide variety of circumstances: acute intestinal occlusion, or even in shock. Repeated abdominal pain that can be associated with transit disorders. Case report: we report the observation of a 63 year old patient admitted for small bowel volvulus onincomplete common mesentery in whom the postoperative evolution wasfavourable. Conclusion: small bowel volvulus on incomplete common mesentery has a non-specific symptomatology; CT scan with contrast injection can confirm the diagnosis. Early intervention can be the one solution to treat this pathology.