Mirrored Appearance of Complete Common Mesentery Discovered on CT Scan for Crohn's Disease

Incomplete 90° intestinal rotation in a clockwise direction results in complete common mesentery being placed in a mirror image to and with a similar appearance to complete common mesentery. This rotation places the colon in the right half of the abdominal cavity and the small intestine in the left...

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Autores principales: Odette Ndikumana, Fatima Zahra Badi, Oumar Djidda, Mouna Sabiri, Samia Elmanjra, Samira Lezar, Fatiha Essodegui
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Lenguaje:EN
Publicado: SMC MEDIA SRL 2021
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Acceso en línea:https://doaj.org/article/4370627e4dba4339ae5c3320d85e3178
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spelling oai:doaj.org-article:4370627e4dba4339ae5c3320d85e31782021-11-09T11:21:26ZMirrored Appearance of Complete Common Mesentery Discovered on CT Scan for Crohn's Disease2284-259410.12890/2021_002721https://doaj.org/article/4370627e4dba4339ae5c3320d85e31782021-10-01T00:00:00Zhttps://www.ejcrim.com/index.php/EJCRIM/article/view/2721https://doaj.org/toc/2284-2594Incomplete 90° intestinal rotation in a clockwise direction results in complete common mesentery being placed in a mirror image to and with a similar appearance to complete common mesentery. This rotation places the colon in the right half of the abdominal cavity and the small intestine in the left half of the abdominal cavity. We report the case of a 19-year-old patient with a history of cerebral palsy secondary to meningitis who presented with melaena and inflammatory anaemia. CT enterography was performed which showed regular, non-stenosing circumferential wall thickening of the sigmoid colon and rectosigmoid junction compatible with Crohn's disease, which was confirmed by pathophysiology. It also revealed transposition of the colon to the right hemi-abdomen and the small intestine to the left hemi-abdomen, the caecum to the right iliac fossa, and the third portion of the duodenum to the left of the mesenteric vessels.Odette NdikumanaFatima Zahra BadiOumar DjiddaMouna SabiriSamia ElmanjraSamira LezarFatiha EssodeguiSMC MEDIA SRLarticlecomplete mirrored mesenteryrotationcolonabdomensmall intestinecrohn’s diseaseMedicineRENEuropean Journal of Case Reports in Internal Medicine (2021)
institution DOAJ
collection DOAJ
language EN
topic complete mirrored mesentery
rotation
colon
abdomen
small intestine
crohn’s disease
Medicine
R
spellingShingle complete mirrored mesentery
rotation
colon
abdomen
small intestine
crohn’s disease
Medicine
R
Odette Ndikumana
Fatima Zahra Badi
Oumar Djidda
Mouna Sabiri
Samia Elmanjra
Samira Lezar
Fatiha Essodegui
Mirrored Appearance of Complete Common Mesentery Discovered on CT Scan for Crohn's Disease
description Incomplete 90° intestinal rotation in a clockwise direction results in complete common mesentery being placed in a mirror image to and with a similar appearance to complete common mesentery. This rotation places the colon in the right half of the abdominal cavity and the small intestine in the left half of the abdominal cavity. We report the case of a 19-year-old patient with a history of cerebral palsy secondary to meningitis who presented with melaena and inflammatory anaemia. CT enterography was performed which showed regular, non-stenosing circumferential wall thickening of the sigmoid colon and rectosigmoid junction compatible with Crohn's disease, which was confirmed by pathophysiology. It also revealed transposition of the colon to the right hemi-abdomen and the small intestine to the left hemi-abdomen, the caecum to the right iliac fossa, and the third portion of the duodenum to the left of the mesenteric vessels.
format article
author Odette Ndikumana
Fatima Zahra Badi
Oumar Djidda
Mouna Sabiri
Samia Elmanjra
Samira Lezar
Fatiha Essodegui
author_facet Odette Ndikumana
Fatima Zahra Badi
Oumar Djidda
Mouna Sabiri
Samia Elmanjra
Samira Lezar
Fatiha Essodegui
author_sort Odette Ndikumana
title Mirrored Appearance of Complete Common Mesentery Discovered on CT Scan for Crohn's Disease
title_short Mirrored Appearance of Complete Common Mesentery Discovered on CT Scan for Crohn's Disease
title_full Mirrored Appearance of Complete Common Mesentery Discovered on CT Scan for Crohn's Disease
title_fullStr Mirrored Appearance of Complete Common Mesentery Discovered on CT Scan for Crohn's Disease
title_full_unstemmed Mirrored Appearance of Complete Common Mesentery Discovered on CT Scan for Crohn's Disease
title_sort mirrored appearance of complete common mesentery discovered on ct scan for crohn's disease
publisher SMC MEDIA SRL
publishDate 2021
url https://doaj.org/article/4370627e4dba4339ae5c3320d85e3178
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AT oumardjidda mirroredappearanceofcompletecommonmesenterydiscoveredonctscanforcrohnsdisease
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