: Persistent descending mesocolon is a congenital anomaly in which the mesentery of the descending colon fails to fuse with the retroperitoneum, resulting in a mobile colon that is suspended by a mesentery extending from the left upper quadrant to the pelvic brim. This can predispose to intestinal obstruction by twisting of the colon, internal hernia with or without a mesenteric defect or intussusception. We present a case report of a 30-year-old male who presented with recurrent abdominal pain and distension, with a CT diagnosis of descending colonic volvulus due to persistent left mesocolon. The patient underwent a successful resection of the affected colon and had an uneventful recovery. This case highlights the importance of considering anatomical variants in the diagnosis and management of colonic volvulus.
Descending colon volvulus in a patient with persistent left mesocolon: A case report
Laterza, Fabio;Dezio, Michele;Dattoli, Roberta;De Lucia, Diletta;Cofone, Federico;
2025-01-01
Abstract
: Persistent descending mesocolon is a congenital anomaly in which the mesentery of the descending colon fails to fuse with the retroperitoneum, resulting in a mobile colon that is suspended by a mesentery extending from the left upper quadrant to the pelvic brim. This can predispose to intestinal obstruction by twisting of the colon, internal hernia with or without a mesenteric defect or intussusception. We present a case report of a 30-year-old male who presented with recurrent abdominal pain and distension, with a CT diagnosis of descending colonic volvulus due to persistent left mesocolon. The patient underwent a successful resection of the affected colon and had an uneventful recovery. This case highlights the importance of considering anatomical variants in the diagnosis and management of colonic volvulus.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
