Recurrent caecal volvulus in mesenterium commune. A case report

We report a case of recurrent abdominal pain due to intermittent caecal volvulus arising in a patient with mesenterium commune. Colonic enema, abdominal CT scan and virtual colonography with three-dimensional colonic reconstruction were useful for detecting this rare abnormal intestinal fixation. Although right hemicolectomy was indicated, we performed a wide colonic resection from the terminal ileum to the distal sigmoid because the patient's short mesentery made it impossible to perform an ileum-transverse anastomosis. At six months follow-up, the patient was in good health and free of abdominal symptoms.