Non-operative treatment for bowel obstruction in a 37-year-old woman with common mesentery: a case report
Common mesentery is a rare congenital anomaly caused by abnormal rotation of the omphalomesenteric loop during embryonic development. We report the case of a 37-year-old woman who presented with lower abdominal pain and fever. Physical examination revealed localized tenderness, and laboratory tests...
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| Language: | English |
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PAGEPress Publications
2025-07-01
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| Series: | Emergency Care Journal |
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| Online Access: | https://www.pagepressjournals.org/ecj/article/view/13647 |
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| author | Manuela Mastronardi Biagio Casagranda Nicolò de Manzini Silvia Palmisano |
| author_facet | Manuela Mastronardi Biagio Casagranda Nicolò de Manzini Silvia Palmisano |
| author_sort | Manuela Mastronardi |
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Common mesentery is a rare congenital anomaly caused by abnormal rotation of the omphalomesenteric loop during embryonic development. We report the case of a 37-year-old woman who presented with lower abdominal pain and fever. Physical examination revealed localized tenderness, and laboratory tests showed elevated inflammatory markers. Computed tomography revealed common mesentery with small bowel obstruction, and abnormal cecal positioning. There were no signs of ischemia or perforation. Conservative treatment was initiated, including nasogastric decompression, Gastrografin challenge, intravenous fluids, analgesics, and antiemetics. The patient improved clinically, tolerated refeeding, and was discharged on day five. At three-month follow-up, she remained asymptomatic. Magnetic resonance imaging confirmed the congenital anomaly and excluded other pathological findings. This case demonstrates that non-operative management may be an effective option in stable adult patients with bowel obstruction due to common mesentery.
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| format | Article |
| id | doaj-art-3f393d8a41d94dd2b3fc86d32b944def |
| institution | Kabale University |
| issn | 2282-2054 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Emergency Care Journal |
| spelling | doaj-art-3f393d8a41d94dd2b3fc86d32b944def2025-08-20T03:31:31ZengPAGEPress PublicationsEmergency Care Journal2282-20542025-07-0110.4081/ecj.2025.13647Non-operative treatment for bowel obstruction in a 37-year-old woman with common mesentery: a case reportManuela Mastronardi0Biagio Casagranda1Nicolò de Manzini2Silvia Palmisano3Department of Medical, Surgical and Health Care Sciences, University of Trieste, TriesteSurgical Clinic Division, Cattinara Hospital, ASUGI, TriesteDepartment of Medical, Surgical and Health Care Sciences, University of Trieste, Trieste; Surgical Clinic Division, Cattinara Hospital, ASUGI, TriesteDepartment of Medical, Surgical and Health Care Sciences, University of Trieste, Trieste; Surgical Clinic Division, Cattinara Hospital, ASUGI, Trieste Common mesentery is a rare congenital anomaly caused by abnormal rotation of the omphalomesenteric loop during embryonic development. We report the case of a 37-year-old woman who presented with lower abdominal pain and fever. Physical examination revealed localized tenderness, and laboratory tests showed elevated inflammatory markers. Computed tomography revealed common mesentery with small bowel obstruction, and abnormal cecal positioning. There were no signs of ischemia or perforation. Conservative treatment was initiated, including nasogastric decompression, Gastrografin challenge, intravenous fluids, analgesics, and antiemetics. The patient improved clinically, tolerated refeeding, and was discharged on day five. At three-month follow-up, she remained asymptomatic. Magnetic resonance imaging confirmed the congenital anomaly and excluded other pathological findings. This case demonstrates that non-operative management may be an effective option in stable adult patients with bowel obstruction due to common mesentery. https://www.pagepressjournals.org/ecj/article/view/13647Bowel obstructioncommon mesenterynon-operative management |
| spellingShingle | Manuela Mastronardi Biagio Casagranda Nicolò de Manzini Silvia Palmisano Non-operative treatment for bowel obstruction in a 37-year-old woman with common mesentery: a case report Emergency Care Journal Bowel obstruction common mesentery non-operative management |
| title | Non-operative treatment for bowel obstruction in a 37-year-old woman with common mesentery: a case report |
| title_full | Non-operative treatment for bowel obstruction in a 37-year-old woman with common mesentery: a case report |
| title_fullStr | Non-operative treatment for bowel obstruction in a 37-year-old woman with common mesentery: a case report |
| title_full_unstemmed | Non-operative treatment for bowel obstruction in a 37-year-old woman with common mesentery: a case report |
| title_short | Non-operative treatment for bowel obstruction in a 37-year-old woman with common mesentery: a case report |
| title_sort | non operative treatment for bowel obstruction in a 37 year old woman with common mesentery a case report |
| topic | Bowel obstruction common mesentery non-operative management |
| url | https://www.pagepressjournals.org/ecj/article/view/13647 |
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