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[Total small bowel volvulus complicating common incomplete mesentery, an exceptional complication in adults: about a

Aliou Zabeirou Oudou1, Ismael Dandakoye Soumana1, Tarek Souiki1

  • 1Service de Chirurgie Viscérale B, CHU Hassan 2, Fes, Maroc.

The Pan African Medical Journal
|November 7, 2019
PubMed

Insights

Total small bowel volvulus, a rare condition involving intestinal rotation, demands immediate surgery. This case highlights successful emergency surgical intervention for a 60-year-old patient with this critical diagnosis.

Area of Science:

  • Gastroenterology and Surgical Sciences
  • Abdominal Imaging and Interventional Radiology

Background:

  • Total small bowel volvulus is a surgical emergency caused by a 180° rotation of the primary intestinal loop.
  • It is associated with a short mesentery and high risk of enteromesenteric infarction.

Observation:

  • A 60-year-old patient presented with symptoms of acute total small bowel volvulus.
  • The patient had an underlying incomplete common mesentery, predisposing to this condition.

Findings:

  • Emergency surgery was performed, involving counterclockwise untwisting of the volvulus.
  • Intestinal viability was assessed, and the bowel was repositioned into a complete common mesentery configuration.

Implications:

  • Prompt surgical intervention is crucial for favorable outcomes in total small bowel volvulus.
  • Understanding mesenteric anatomy is key to diagnosing and managing this condition effectively.
Keywords:
Total volvulusabnormal rotationcommon incomplete mesenterysmall intestine

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