DOI: 10.36347/SJMCR.2019.v07i09.012

Pages: 589-591

The common mesentery results from an abnormality of rotation of the digestive tract. It is characterized by the persistence of an embryonic anatomical arrangement secondary to an abnormality of rotation of the primary umbilical loop, thus constituting a meso common to the entire intestinal loop and an extremely short root of the mesentery. This lack of rotation is most often associated with a shoulder defect. These abnormalities in bowel rotation can lead to dreadful and sometimes fatal complications, which usually occur during the neonatal or pediatric age. It is estimated that the prevalence of these congenital malformations in adulthood is of the order of 0.2% to 0.5% age at which they very often remain asymptomatic and therefore undiagnosed. The diagnosis of total small bowel volvulus can be made in a wide variety of circumstances: in emergency before an acute bowel obstruction panel, or even a state of shock that could lead to death, before a table of repeated abdominal pain more or less associated with transit disorders. We report the observation of a 55-year-old patient admitted with total small bowel volvulus on an incomplete common mesentery who underwent emergency surgery with favorable postoperative outcome.