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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE
A Journal on Internal Medicine and Pharmacology
Indexed/Abstracted in: BIOSIS Previews, EMBASE, Scopus, Emerging Sources Citation Index
Gazzetta Medica Italiana Archivio per le Scienze Mediche 2005 December;164(6):477-80
“Mesenterium commune” in young man: a rare case report
Santonocito M. M., Di Prima P., Corsaro A., Romano A., Sciacca C., Fisichella A., Scuderi R.
Dipartimento di Medicina Interna, Ospedale S. Marta, Università di Catania, Catania
“Mesenterium commune” is a rare pathology caused by the interruption of intestinal rotation during foetal development. It is usually observed during childhood when the painful symptoms are often referred to physicians, but it may also not be diagnosed until adulthood. Our case of mesenterium commune was initially suspected by the presence of symptoms (constipation, abdominal pain, nausea) and later confirmed by US and radiological investigations. The Authors describe a case of a young girl who presented to the suffering from the childhood with recurring abdominal pain. The ultrasound showed small intestinal loops only in the right abdominal region, while the colon was seen to originate at the right periumbilical level and it run vertically down the abdominal midline. US findings did not show thickened bowel wall. Peristalsis was normal. The findings suggested intestinal malrotation (mesenterium commune), and X-rays using barium as contrast confirmed the diagnosis. The clinical suspicion based on symptoms ( abdominal pain, nausea, constipation) was confirmed by US that has demonstrated a defect in intestinal rotation, thus preventing the onset of complications, possibly including intestinal volvolus, and thus allowing for the patient to be referred for corrective surgical intervention.