A Duodenal Ectasia Developed Upstream of a Ladd Adhesion and a Tubular Cholecystoduodenal Fistula: An Unusual RevealingAspect of an Incomplete Common Mesentery

Authors

  • Errabi Mohammed Nizar In First Position, Resident Physician in Visceral Surgery at the Military Hospital Moulay Ismail of Meknes, Morocco Author
  • Choho Abdelkrim Professor of Advanced Studies in Visceral Surgery at the Military Hospital Moulay Ismail of Meknes, Morocco Author
  • Menfaa Mohamed Assistant professor in visceral surgery in the Military Hospital Moulay Ismail of Meknes, Morocco Author
  • Sakit Fouad Assistant professor in visceral surgery in the Military Hospital Moulay Ismail of Meknes, Morocco Author

DOI:

https://doi.org/10.47363/JPRRR/2023(5)168

Keywords:

Incomplete Common Mesentery, LADD Flange, Duodenal Ectasia, Cholecystoduodenal Fistula, Subhepatic Appendix, Literature Review

Abstract

The incomplete common mesentery results from a 180° rotation stop of the primitive umbilical loop. This rotation defect is most often associated with the emergence of adhesions at the attachment sites, which usually lead to severe neonatal obstructions. The entire small intestine is supported by the superior mesenteric arterial axis with a very short root, hence the high risk of volvulus and mesenteric infarction. We report an unprecedented case observed in the General Surgery Department at Moulay Ismail Military Hospital in Meknes, Morocco. The case involves
a 24-year-old individual who was referred for further management of epigastralgia and low-volume hematemesis reported during a repeated vomiting episode. This case will be presented, labeled, and discussed in relation to the literature.

Author Biographies

  • Errabi Mohammed Nizar, In First Position, Resident Physician in Visceral Surgery at the Military Hospital Moulay Ismail of Meknes, Morocco

    Errabi Mohammed Nizar, in First Position, Resident Physician in Visceral Surgery at the Military Hospital Moulay Ismail of Meknes, Morocco 

  • Choho Abdelkrim, Professor of Advanced Studies in Visceral Surgery at the Military Hospital Moulay Ismail of Meknes, Morocco

    Professor of Advanced Studies in Visceral Surgery at the Military Hospital Moulay Ismail of Meknes, Morocco 

  • Menfaa Mohamed, Assistant professor in visceral surgery in the Military Hospital Moulay Ismail of Meknes, Morocco

    Assistant professor in visceral surgery in the Military Hospital Moulay Ismail of Meknes, Morocco 

  • Sakit Fouad, Assistant professor in visceral surgery in the Military Hospital Moulay Ismail of Meknes, Morocco

    Assistant professor in visceral surgery in the Military Hospital Moulay Ismail of Meknes, Morocco 

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Published

2023-06-27

Issue

Vol. 5 No. 3 (2023): Volume 5 Issue 3

Section

Articles