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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Autores principales: Lovenish Bains, Amit Gupta, Daljit Kaur, Aman Batish
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Lenguaje:EN
Publicado: Shiraz University of Medical Sciences 2016
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Acceso en línea:https://doaj.org/article/f98792b843e1404baa0baeea0769ac9a
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic mobile right colon
stasis
obstruction
colopexy
Medicine
R
spellingShingle 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
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AT amitgupta mobilerightcolonsyndromeobscurecauseoflowerrightabdominalpain
AT daljitkaur mobilerightcolonsyndromeobscurecauseoflowerrightabdominalpain
AT amanbatish mobilerightcolonsyndromeobscurecauseoflowerrightabdominalpain
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