Total Small Bowel Volvulus on Common mesentery: A Case Report

Total small bowel volvulus on complete common mesentery is a rotation anomaly of the primitive intestinal loop, it is a classical pathology in the neonatal period, and exceptional in adults. It corresponds to an interruption of the intestinal rotation at 180°, thus constituting a common mesentery to the whole intestinal loop and a short root of the mesentery. This interruption of rotation is often accompanied by a defect of association. The diagnosis of total volvulus of the small intestine can be made either in an emergency following an acute occlusion or even a state of shock, or abdominal pain with transit disorders. We report the case of a 56-year-old female patient, admitted for an occlusive syndrome on total small bowel volvulus on common mesentery treated surgically by the LADD procedure.