Mobile Colon – A Developmental Anomaly of the Large Intestine case report Section Case Report

##plugins.themes.academic_pro.article.main##

Anuradha Dehiya
Ravi Kant Sharma
Miss Sehajdeep Kaur

Abstract

Introduction: Mobile Colon is a subtle developmental anomaly, which is due to the failure of the process of peritoneal zygosis. The incidence of this anomaly is estimated to be 10-15% of the population. Evidence Acquisition: During routine cadaveric dissection of the abdomen in the Department of Anatomy, collective anomalies of the caecum, ascending colon and descending colon were found. In these collective anomalies cecum, ascending and descending colon instead of normally being retroperitoneal were suspended from the posterior abdominal wall by a fold of peritoneum called the mesentery. Mobile colon is an uncommon anomaly, which is being reported here. Clinical Implications: Mobile colon is usually asymptomatic but whenever it becomes symptomatic, it leads to mobile colon syndrome. Clinical symptoms associated with mobile colon syndrome mimic other common gastrointestinal disorders such as inflammatory bowel disease, malignancy, appendicitis and volvulus. Complications of this syndrome include intestinal obstruction, torsion of the intestine and gangrenous bowel which needs immediate treatment. Conclusion: Mobile colon syndrome should be considered in the differential diagnosis of chronic abdominal pain of obscure cause. Laparoscopic colopexy and cecopexy are recommended as therapeutic and diagnostic treatments.

##plugins.themes.academic_pro.article.details##

Received 2022-06-28
Accepted 2022-09-08
Published 2022-07-01
How to Cite
Dehiya, A., Sharma, R. K. ., & Kaur, S. . (2022). Mobile Colon – A Developmental Anomaly of the Large Intestine: case report. International Journal of Medical and Dental Sciences, 11(2), 2051–2055. https://doi.org/10.18311/ijmds/2022/629

References

  1. Cesaretti M, Trotta M, Leale I, et al. Surgery to treat symptomatic mobile caecum syndrome is safe and associated with good recovery outcomes. Case Reports in Gastro Med. 2018; 2018: 4718406. PMid: 29593915 PMCid: PMC5822757. https://doi.org/10.1155/2018/4718406 DOI: https://doi.org/10.1155/2018/4718406
  2. Bains L, Gupta A, Kaur D, et al. Mobile right colon syndrome: Obscure cause of lower right abdominal pain. Ann Colorectal Res. 2016; 4(2): e35527. https://doi.org/10.17795/acr-35527 DOI: https://doi.org/10.17795/acr-35527
  3. Reddy PSY, Kumaran SS, Vanka V, et al. Abdominal pain - A common presentation with unusual diagnosis: A case report. J of CommunhospInt Med Persp. 2010; 10(6): 604– 8. PMid: 33194140 PMCid: PMC7599011. https://doi.org/10.1080/20009666.2020.1821469 DOI: https://doi.org/10.1080/20009666.2020.1821469
  4. Mazingi D, Mbanje C, Muguti IG, et al. Volvulus of the ascending colon due to failure of zygosis: A case report and review of the literature. Int J of Surg Case Rep. 2019; 59:90–3. PMid: 31125788 PMCid: PMC6531863. https://doi.org/10.1016/j.ijscr.2019.05.014 DOI: https://doi.org/10.1016/j.ijscr.2019.05.014
  5. Jean JY, Tseng HH, Kao WS, et al. An unusual presentation of Acute Appendicitis with mobile caecum syndrome. Ped and Neonatol. 2015; 56:205–6. PMid: 25943697. https://doi.org/10.1016/j.pedneo.2015.01.007 DOI: https://doi.org/10.1016/j.pedneo.2015.01.007
  6. Yamamoto T, Tajima Y, Hyakudomi R, et al. Case of colonic intussusception secondary to mobile cecum syndrome repaired by laparoscopic cecopexy using barbed wound suture device. World J of Gastroenterol. 2017; 23(35):6534– 9. PMid: 29085202 PMCid: PMC5643278. https://doi.org/10.3748/wjg.v23.i35.6534 DOI: https://doi.org/10.3748/wjg.v23.i35.6534
  7. Consorti ET, Liu TH. Diagnosis and treatment of Caecal Volvulus. Postgrad Med J. 2005; 81:772–6. PMid: 16344301 PMCid: PMC1743408 https://doi.org/10.1136/pgmj.2005.035311 DOI: https://doi.org/10.1136/pgmj.2005.035311
  8. Solanke TF. Intestinal obstruction in Ibadan. West Afr Med J Niger Pract. 1948; 17:191–3.
  9. Saunders BP, Maraki T, Sawada T, et al. A preoperative comparison of western and oriental colonic anatomy and mesenteric attachments. Int J of Colorectal Dis. 1995; 10:216–21. PMid: 8568407. https://doi.org/10.1007/BF00346222 DOI: https://doi.org/10.1007/BF00346222
  10. Straus WL. The thoracic and abdominal viscera of primates, with special reference to the orangutan. Proc Am Philos Soc. 1936; 76(1):1–85.
  11. Frazer JE, Robbins RH. On the factors concerned in causing rotation of intestine in man. J Anat Physiol. 1915; 50:75–110.
  12. Houston WR. The Mobile Right Colon. J Am Med Assoc. 1929; 93(10):766–8. https://doi.org/10.1001/jama.1929.02710100028011 DOI: https://doi.org/10.1001/jama.1929.02710100028011
  13. McConnell AA, Hardman T. Abnormalities of fixation of the ascending colon: The relation of symptoms to anatomical findings. Br J Surg. 1923; 10(40):532–57. https://doi.org/10.1002/bjs.1800104014 DOI: https://doi.org/10.1002/bjs.1800104014
  14. McConnell AA. Mobile ascending colon and duodenal obstruction a common causes of equivocal symptoms in the abdomen. Ir J Med Sci. 1921; 2:389–403. https://doi.org/10.1007/BF02974958 DOI: https://doi.org/10.1007/BF02974958
  15. Gebresellassie WH. Ileocecal Knotting in a young man with Mobile Ceacum and ascending colon: A very rare and unique cause of intestinal obstruction. Clinical Case Reports. 2020. https://doi.org/10.22541/au.159050493.30770142 DOI: https://doi.org/10.22541/au.159050493.30770142
  16. Brooks L. Mobile Right Colon: Clinical Consequences. Cal West Med. 1937; 46(1):14–20. [PubMed: 18743908].
  17. Dixon CF, Meyer AC. Volvulus of the ceacum. Surg Clin North Am. 1948; 28:953–63. (Mayo clinic Number). [PubMed: 18878458]. https://doi.org/10.1016/S00396109(16)32484-7 DOI: https://doi.org/10.1016/S0039-6109(16)32484-7
  18. Waugh GE. The morbid consequences of a mobile ascending colon, with a record of 180 operations. Br J Surg. 1919; 7(27):343–83. https://doi.org/10.1002/bjs.1800072708 DOI: https://doi.org/10.1002/bjs.1800072708
  19. Carslaw RB. Right-sided visceroptosis: An estimate of the importance of abnormal mobility and prolapse of the ascending colon and caecum in the causation of various abdominal conditions, based on observations in a series of 242 cases treated by right colopexy. Br J Surg. 1928; 15(60):545–604. https://doi.org/10.1002/bjs.1800156004 DOI: https://doi.org/10.1002/bjs.1800156004
  20. Ris HB, Stimemann H, Doram JE. The mobile caecum syndrome and ceacopexy or only appendectomy? Chisung. 1989; 60:277–82.
  21. Makama JG, Ahmed A, Ukwenya Y, et al. Mobile Ceacum and ascending colon syndrome in a Nigerian adult. Ann of Afr Med. 2009; 8(2):133–5. PMid: 19805946. https://doi.org/10.4103/1596-3519.56243 DOI: https://doi.org/10.4103/1596-3519.56243
  22. Tsushimi T, Kurazumi H, Takemoto Y, et al. Laparoscopic cecopexy for mobile caecum syndrome manifesting as caecal volvulus: Report of a case. Surg Today. 2008; 38(4):359–62. PMid: 18368329. https://doi.org/10.1007/s00595-007-3620-7 DOI: https://doi.org/10.1007/s00595-007-3620-7
  23. Fung AT, Konkin DE, Kanji ZS. Malrotation with Midgut volvulus in an adult: A case report and review
  24. of the literature. J Surg Case Reports. 2017; 5:1–3. PMid: 28560023 PMCid: PMC5441244. https://doi.org/10.1093/jscr/rjx081 DOI: https://doi.org/10.1093/jscr/rjx081
  25. Printer KJ. Mobile cecal syndrome in adults. Am Surg. 1976; 42(3):204–5.