Oudou Aliou Zabeirou, Soumana Ismael Dandakoye, Souiki Tarek, Majdoub Karim Ibn, Toughrai Imane, Laalim Said Ait, Mazaz Khalid
Service de Chirurgie Viscérale B, CHU Hassan 2, Fes, Maroc.
Pan Afr Med J. 2019 Jul 17;33:220. doi: 10.11604/pamj.2019.33.220.18159. eCollection 2019.
Total small bowel volvulus complicating common incomplete mesentery is an arrest of rotation of the primary intestinal loop at 180°. The root of the mesentery is very short and the whole small intestine is located on the superior mesenteric artery axis. Patients are at very high risk of small bowel volvulus and enteromesenteric infarction. Acute volvulus requires emergency surgery; imaging must not delay surgery. Surgery is based on the untwisting of the volvulus (counterclockwise) after the assessment of intestinal viability. The intestine placed in the complete common mesentery position: the cœcum is situated in the right iliac region. We report the case of a 60-year old patient admitted with total small bowel volvulus on an incomplete common mesentery who underwent emergency surgery with favorable postoperative outcome.
合并常见不完全肠系膜的全小肠扭转是原发性肠袢旋转至180°时的旋转停滞。肠系膜根部非常短，整个小肠位于肠系膜上动脉轴线上。患者发生小肠扭转和肠肠系膜梗死的风险非常高。急性扭转需要急诊手术；影像学检查不得延误手术。手术基于在评估肠活力后对扭转进行解旋（逆时针方向）。肠管置于完全常见肠系膜位置：盲肠位于右髂区。我们报告一例60岁患者，因不完全常见肠系膜上的全小肠扭转入院，接受了急诊手术，术后结果良好。
