DOI: 10.36347/sjmcr.2020.v08i03.030

Pages: 366-369

Common mesentery is the persistence of an embryonic anatomical arrangement secondary to an anomaly of rotation of the primary umbilical loop, thus constituting a common meso to the whole intestine and a short root of the mesentery. These intestinal rotation anomalies can lead to tragic and sometimes fatal complications, which generally occur during the neonatal period or at pediatric age. It is estimated that the prevalence of these congenital malformations in adulthood is around 0.2% to 0.5% at which age they very often remain asymptomatic and therefore undiagnosed (1). The diagnosis of total volvulus of the small intestine could be made in very varied circumstances: in emergency in front of a table of acute intestinal obstruction, even a state of shock, in front of a table of abdominal pain repeated more or less associated with transit disorders. We report the observation of a 21-year-old patient admitted for total volvulus of small hail on a complete common mesentery in which the evolution was favorable.