Recurrent caecal volvulus in mesenterium commune. A case report.
We report a case of recurrent abdominal pain due to intermittent caecal volvulus arising in a patient with mesenterium commune. Colonic enema, abdominal CT scan and virtual colonography with three-dimensional colonic reconstruction were useful for detecting this rare abnormal intestinal fixation. Although right hemicolectomy was indicated, we performed a wide colonic resection from the terminal ileum to the distal sigmoid because the patient's short mesentery made it impossible to perform an ileum-transverse anastomosis. At six months follow-up, the patient was in good health and free of abdominal symptoms.
Marino
Fabio
F
Colorectal Eporediensis Centre, Gruppo Sanitario Policlinico di Monza, Clinica S. Rita, Vercelli.
Giani
Iacopo
I
Clerico
Giuseppe
G
Luc
Alberto Realis
AR
Giacosa
Attilio Carlo
AC
Ganio
Ezio
E
Trompetto
Mario
M
D015746:Abdominal Pain / Q000209:etiology; D001466:Barium Sulfate; D002429:Cecal Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D004733:Enema; D006801:Humans; D045822:Intestinal Volvulus / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D007813:Laparotomy; D008297:Male; D008643:Mesentery; D008875:Middle Aged; D012008:Recurrence; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D001466:Barium Sulfate