Descending colon volvulus in a patient with persistent left mesocolon: A case report

Q4 Medicine

Radiology Case Reports Pub Date : 2025-09-09 DOI:10.1016/j.radcr.2025.08.020

Fabio Laterza MD , Michele Dezio MD , Annachiara Ceccherini MD , Roberta Dattoli MD , Diletta De Lucia MD , Mario Di Diego MD , Federico Cofone MD , Angela Calabrese MD , Roberto Calbi MD

引用次数: 0

Abstract

Persistent descending mesocolon is a congenital anomaly in which the mesentery of the descending colon fails to fuse with the retroperitoneum, resulting in a mobile colon that is suspended by a mesentery extending from the left upper quadrant to the pelvic brim. This can predispose to intestinal obstruction by twisting of the colon, internal hernia with or without a mesenteric defect or intussusception.

We present a case report of a 30-year-old male who presented with recurrent abdominal pain and distension, with a CT diagnosis of descending colonic volvulus due to persistent left mesocolon. The patient underwent a successful resection of the affected colon and had an uneventful recovery. This case highlights the importance of considering anatomical variants in the diagnosis and management of colonic volvulus.

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持续性左结肠系膜患者降结肠扭转1例

持续性降系结肠系膜是一种先天性异常，其中降结肠肠系膜未能与腹膜后融合，导致可移动的结肠被从左上象限延伸至骨盆边缘的肠系膜所悬浮。这可通过结肠扭曲、伴有或不伴有肠系膜缺损或肠套叠的内疝而诱发肠梗阻。我们报告一个30岁男性的病例报告，他表现为复发性腹痛和腹胀，CT诊断为持续性左结肠肠系膜引起的结肠下降扭转。病人成功切除了受影响的结肠，并顺利康复。本病例强调了在结肠扭转的诊断和治疗中考虑解剖学变异的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.