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Related Concept Videos

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
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Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Intestinal Obstruction I: Introduction01:29

Intestinal Obstruction I: Introduction

Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...

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Related Experiment Video

Updated: May 12, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis
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Complete common mesentery revealed by a cecal bascule: Two case reports.

Mohamed Ben Khalifa1, Wajdi Missaoui1, Wassim Elguedr1

  • 1General surgery Department Tahar sfar hospital Mahdia, Faculty of Medicine, University of Monastir Tunisia, Tunisia.

International Journal of Surgery Case Reports
|March 19, 2025
PubMed
Summary

Complete common mesentery, a rare embryonic midgut malrotation, can cause cecal bascule, a rare form of cecal volvulus leading to intestinal obstruction. Surgical intervention like right hemicolectomy is the primary treatment.

Keywords:
Case reportCecal basculeCommon mesenterySurgery

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Area of Science:

  • Surgical Gastroenterology
  • Embryonic Development
  • Abdominal Imaging

Background:

  • Complete common mesentery (CCM) arises from midgut malrotation during embryonic development.
  • Cecal volvulus (CV), particularly the bascule subtype, is a rare complication of CCM causing acute intestinal obstruction.
  • The bascule subtype involves the cecum folding anteriorly over the ascending colon.

Observation:

  • Two cases of acute intestinal obstruction due to Cecal Bascule (CB) secondary to CCM are presented.
  • One patient was misdiagnosed with a strangulated umbilical hernia and operated on without prior imaging.
  • Both patients underwent open right colectomy with primary intestinal anastomosis and recovered well.

Findings:

  • CCM involves disrupted embryonic intestinal rotation, leading to abnormal fixation and a mobile right colon.
  • Cecal bascule represents a rare presentation (<10% of CV) of CCM.
  • Diagnosis can be challenging on CT scans due to altered anatomy, requiring vigilance from radiologists and surgeons.

Implications:

  • Early recognition of CCM and its complications like CB is crucial for timely surgical management.
  • Right hemicolectomy with ileocolic anastomosis is the standard surgical treatment for CB in CCM.
  • Awareness among surgeons and radiologists is vital, as misdiagnosis can lead to delayed treatment of this rare condition.