Srpski arhiv za celokupno lekarstvo 2012 Volume 140, Issue 9-10, Pages: 637-640
https://doi.org/10.2298/SARH1210637T
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Persistent descending mesocolon: Case report
Trebješanin Zoran (Klinika za vaskularnu hirurgiju, Institut za kardiovaskularne bolesti „Dedinje“, Beograd)
Babić Srđan (Klinika za vaskularnu hirurgiju, Institut za kardiovaskularne bolesti „Dedinje“, Beograd)
Vučurević Goran (Klinika za vaskularnu hirurgiju, Institut za kardiovaskularne bolesti „Dedinje“, Beograd)
Popov Petar (Klinika za vaskularnu hirurgiju, Institut za kardiovaskularne bolesti „Dedinje“, Beograd + Medicinski fakultet, Beograd)
Ilijevski Nenad (Klinika za vaskularnu hirurgiju, Institut za kardiovaskularne bolesti „Dedinje“, Beograd + Medicinski fakultet, Beograd)
Blagotić Milena (Medicinski fakultet, Beograd + Institut za anatomiju, Medicinski fakultet, Beograd)
Introduction. Positional anomalies of the right half of the colon are quite
common whereas positional anomalies of the left half of the colon are much
less common because of embryological disorders during the period of the
embryological development of that part of the bowel. The process of the
fixation of the descending colon to the posterior abdominal wall can be
absent. In that case, when the descending colon has a free descending
mesocolon, it shows some degree of mobility. Case Outline. We are presenting
an example of one of the anomalies, which is characterized by the persistent
descending mesocolon, which extends from the splenic flexure or just below it
to the sigmoid colon. The persistent descending mesocolon in our case
contains or surrounds almost complete small bowel in a recess which is
located laterally to the left of the midline. The content of this hernial sac
simulates the symptoms of an internal hernia followed by clinical symptoms
and roendgenographical signs. Conclusion. We are of the opinion that this
anomaly is more common than some surveys of literature would suggest.
Keywords: persistent descending mesocolon, internal hernia, hernia contents