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A Mouse Model of Intestinal Partial Obstruction
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Cecal volvulus in complete common mesentery.

Ghita Taki1, Victoire Roblot2, Karine Pautrat1

  • 1Digestive surgery department, hôpital Lariboisière - Saint-Louis, Assistance publique-Hôpitaux de Paris (AP-HP), 2, rue Ambroise-Paré, 75010 Paris, France.

Journal of Visceral Surgery
|March 7, 2024
PubMed
Summary
This summary is machine-generated.

Common mesentery involves abnormal rotation of the umbilical loop, leading to misplaced mesenteric vessels. This condition, including cecal volvulus, can cause acute intestinal occlusion and requires surgical intervention.

Keywords:
Cecal volvulusComplete common mesenteryIleocecal resection

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Area of Science:

  • Gastroenterology
  • Surgical Anatomy
  • Developmental Biology

Background:

  • Common mesentery is a congenital anomaly resulting from abnormal rotation of the primary umbilical loop.
  • It is characterized by the inverted positioning of mesenteric vessels, with the mesenteric vein typically displaced to the left of the artery.
  • This anomaly can present as complete or incomplete inversion, affecting intestinal arrangement and positioning.

Purpose of the Study:

  • To describe the anatomical variations and clinical implications of common mesentery.
  • To highlight cecal volvulus as a rare but critical surgical emergency associated with mesenteric anomalies.
  • To differentiate between complete and incomplete forms of mesenteric inversion and their consequences.

Main Methods:

  • Review of anatomical descriptions of common mesentery and its variations.
  • Analysis of the pathophysiology of cecal volvulus in the context of mesenteric anomalies.
  • Description of the positional changes of intestines and mesenteric vessels in complete and incomplete common mesentery.

Main Results:

  • Incomplete common mesentery can lead to a short mesenteric root, an empty right iliac fossa, and a high-riding cecum.
  • Complete common mesentery results in the small intestine on the right and the large intestine on the left, with specific duodenal and jejunal anastomoses.
  • Cecal volvulus, a rare cause of acute intestinal occlusion, arises from twisting or rotation of the colon, necessitating emergency surgery.

Conclusions:

  • Common mesentery represents a spectrum of developmental errors in intestinal rotation with significant anatomical consequences.
  • Understanding these variations is crucial for diagnosing and managing associated complications like cecal volvulus.
  • Prompt surgical evaluation is essential for acute intestinal occlusion secondary to these anomalies.