Imaging features of cecal volvulus complicating a complete common mesentery: A case report

Imaging features of cecal volvulus complicating a complete common mesentery: A case report

Cecal volvulus is a rare but serious complication that can occur in association with anomalies of intestinal rotation, particularly in the setting of a complete common mesentery. This congenital anomaly results from improper embryologic rotation of the primitive intestinal loop, leading to abnormal...

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Main Authors: Ayoub Khaled, MD, Nizar El Bouardi, PhD, Zaid Ennasery, MD, Ismail Chaouche, PhD, Hajar Ouazzani Chahdi, PhD, Amal Akammar, PhD, Meriem Haloua, PhD, Badreddine Alami, PhD, Moulay Youssef Alaoui Lamrani, PhD, Meryem Boubbou, PhD, Mustapha Maaroufi, PhD
Format: Article
Language:English
Published: Elsevier 2025-09-01
Series:Radiology Case Reports
Subjects:
Cecal volvulus
Complete common mesentery
Intestinal obstruction
Abdominal CT
Whirl sign
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043325005102
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Summary:Cecal volvulus is a rare but serious complication that can occur in association with anomalies of intestinal rotation, particularly in the setting of a complete common mesentery. This congenital anomaly results from improper embryologic rotation of the primitive intestinal loop, leading to abnormal bowel mobility and a predisposition to volvulus. We report the case of a 43-year-old man with a history of goiter, who was admitted for evaluation of a 5-day history of bowel obstruction, marked by cessation of stool and gas passage, persistent vomiting, and unquantified weight loss. Cross-sectional imaging, especially computed tomography, played a pivotal role in establishing the diagnosis. The patient underwent surgical intervention with a favorable postoperative outcome.
ISSN:1930-0433

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