Ababacar Traore Abdoulaye, Franck Mvumbi Kutubisa, Seydou Ly, Youssef Alaoui Lamrany, Meryem Boubbou, Maaroufi Maaroufi, Badreeddine Alami
Service de Radiologie du CHU, Faculté de Médecine et de Pharmacie, Université Sidi Mohamed Ben Abdellah, Hassan II Fès, Maroc.
Pan Afr Med J. 2017 May 2;27:3. doi: 10.11604/pamj.2017.27.3.11511. eCollection 2017.
Complete common mesentery is a rare abnormality in midgut rotation. Its detection is exceptional during adulthood because, during this period, is very often asymptomatic and therefore not diagnosed. Complete common mesentery may be discovered incidentally in patients with ectopic appendicular syndrome, as in our case study. We here report the case of a 42-year old patient presenting with acute clinico-biological pelvic inflammatory disorder. CT scan allowed the diagnosis of complete common mesentery associated with acute appendicitis. Laparotomy confirmed the diagnosis of perforated acute appendicitis associated with intestinal malrotation. Appendectomy outcomes were favorable.
完整的共同肠系膜是中肠旋转罕见的异常情况。在成年期其检出极为罕见，因为在此期间它常常没有症状，因此未被诊断出来。完整的共同肠系膜可能在异位阑尾综合征患者中偶然发现，就像我们的病例研究那样。我们在此报告一例42岁患者，其表现为急性临床生物学盆腔炎症性疾病。CT扫描诊断为完整的共同肠系膜合并急性阑尾炎。剖腹手术证实诊断为穿孔性急性阑尾炎合并肠旋转不良。阑尾切除术后结果良好。
