Mesourachus and colon obstruction.
The mesourachus is an uncommon anomaly in which the urachal remnant is connected with the anterior abdominal wall by a well-defined mesentery. Likewise, large-bowel obstruction secondary to adhesions and/or congenital bands is very rare in both adults and children. In the following case report of an 8-year-old boy with trisomy 13 syndrome and known intestinal malrotation, a segment of the mesourachus was bound by adhesions to the small-bowel mesentery. This arrangement resulted in severe obstruction of the descending colon, simulating a volvulus.
D002648:Child; D002901:Chromosomes, Human, 13-15; D003106:Colon / Q000601:surgery; D003108:Colonic Diseases / Q000473:pathology*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000473:pathology*; D008297:Male; D000267:Tissue Adhesions / Q000601:surgery; D014314:Trisomy; D014497:Urachus / Q000473:pathology*