Mobile Right Colon Syndrome: Obscure Cause of Lower Right Abdominal Pain
Context: The mobile right colon is a developmental aberration. During the development and rotation of the gut, the cecum andascending colon are the last to take their final position and fuse with the posterior abdominal wall.Evidence Acquisition: Though a mobile right colon may be present in 20% - 3...
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Shiraz University of Medical Sciences
2016
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oai:doaj.org-article:f98792b843e1404baa0baeea0769ac9a2021-11-15T09:45:30ZMobile Right Colon Syndrome: Obscure Cause of Lower Right Abdominal Pain2783-2430https://doaj.org/article/f98792b843e1404baa0baeea0769ac9a2016-06-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_47136_b67a28d0c449b2d35a479f3cd2a13ff3.pdfhttps://doaj.org/toc/2783-2430Context: The mobile right colon is a developmental aberration. During the development and rotation of the gut, the cecum andascending colon are the last to take their final position and fuse with the posterior abdominal wall.Evidence Acquisition: Though a mobile right colon may be present in 20% - 30% of the population but causes symptoms in veryfew. The patients present intermittent colicky right lower quadrant abdominal pain with associated abdominal distention andsymptomatic relief after passing flatus or having a bowel movement.Results: Non fixation along with heavy load of the right colon drags the cecum and ascending colon down and leads to stasis,obstruction or volvulus. The diagnosis of this entity is very difficult as radiological studies are not conclusive.Conclusions: The mobile colon syndrome should be considered in the differential diagnosis of right lower quadrant pain fromobscure causes. A proper detailed history is a must to consider this as differential diagnosis. Laparoscopy offers diagnostic andtherapeutic treatment. Colopexy provides dramatic relief in carefully selected patients.Lovenish BainsAmit GuptaDaljit KaurAman BatishShiraz University of Medical Sciencesarticlemobile right colonstasisobstructioncolopexyMedicineRENIranian Journal of Colorectal Research, Vol 4, Iss 2 (2016) |
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mobile right colon stasis obstruction colopexy Medicine R Lovenish Bains Amit Gupta Daljit Kaur Aman Batish Mobile Right Colon Syndrome: Obscure Cause of Lower Right Abdominal Pain |
description |
Context: The mobile right colon is a developmental aberration. During the development and rotation of the gut, the cecum andascending colon are the last to take their final position and fuse with the posterior abdominal wall.Evidence Acquisition: Though a mobile right colon may be present in 20% - 30% of the population but causes symptoms in veryfew. The patients present intermittent colicky right lower quadrant abdominal pain with associated abdominal distention andsymptomatic relief after passing flatus or having a bowel movement.Results: Non fixation along with heavy load of the right colon drags the cecum and ascending colon down and leads to stasis,obstruction or volvulus. The diagnosis of this entity is very difficult as radiological studies are not conclusive.Conclusions: The mobile colon syndrome should be considered in the differential diagnosis of right lower quadrant pain fromobscure causes. A proper detailed history is a must to consider this as differential diagnosis. Laparoscopy offers diagnostic andtherapeutic treatment. Colopexy provides dramatic relief in carefully selected patients. |
format |
article |
author |
Lovenish Bains Amit Gupta Daljit Kaur Aman Batish |
author_facet |
Lovenish Bains Amit Gupta Daljit Kaur Aman Batish |
author_sort |
Lovenish Bains |
title |
Mobile Right Colon Syndrome: Obscure Cause of Lower Right Abdominal Pain |
title_short |
Mobile Right Colon Syndrome: Obscure Cause of Lower Right Abdominal Pain |
title_full |
Mobile Right Colon Syndrome: Obscure Cause of Lower Right Abdominal Pain |
title_fullStr |
Mobile Right Colon Syndrome: Obscure Cause of Lower Right Abdominal Pain |
title_full_unstemmed |
Mobile Right Colon Syndrome: Obscure Cause of Lower Right Abdominal Pain |
title_sort |
mobile right colon syndrome: obscure cause of lower right abdominal pain |
publisher |
Shiraz University of Medical Sciences |
publishDate |
2016 |
url |
https://doaj.org/article/f98792b843e1404baa0baeea0769ac9a |
work_keys_str_mv |
AT lovenishbains mobilerightcolonsyndromeobscurecauseoflowerrightabdominalpain AT amitgupta mobilerightcolonsyndromeobscurecauseoflowerrightabdominalpain AT daljitkaur mobilerightcolonsyndromeobscurecauseoflowerrightabdominalpain AT amanbatish mobilerightcolonsyndromeobscurecauseoflowerrightabdominalpain |
_version_ |
1718428532419330048 |