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Diverticular Disease of the Colon

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Related Experiment Video

Updated: Jul 10, 2026

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

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Recurrent caecal volvulus in mesenterium commune. A case report.

Fabio Marino¹, Iacopo Giani, Giuseppe Clerico

¹Colorectal Eporediensis Centre, Gruppo Sanitario Policlinico di Monza, Clinica S. Rita, Vercelli.

Chirurgia Italiana

|November 21, 2007

Summary

This case study highlights intermittent cecal volvulus in a patient with common mesentery. Advanced imaging aided diagnosis, and extensive colonic resection resolved symptoms, improving patient health.

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Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

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Area of Science:

Gastroenterology
Surgical Case Reports
Abdominal Imaging

Background:

Recurrent abdominal pain can stem from rare congenital anomalies like common mesentery.
Intermittent cecal volvulus is an uncommon cause of intestinal obstruction.

Observation:

A patient presented with intermittent abdominal pain attributed to cecal volvulus.
The condition was associated with an underlying common mesentery (mesenterium commune).

Findings:

Diagnostic imaging, including colonic enema, CT scans, and 3D virtual colonography, effectively identified the abnormal intestinal fixation.
Surgical intervention required a wide colonic resection due to a short mesentery, precluding standard ileum-transverse anastomosis.

Implications:

This case underscores the importance of advanced imaging in diagnosing rare gastrointestinal anomalies.
Successful surgical management, even with extensive resection, can lead to complete symptom resolution and improved patient outcomes.