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

Authors

Errabi Mohammed Nizar, Choho Abdelkrim, Menfaa Mohamed, Sakit Fouad

Journal Information

Journal: Medpeer Publisher

ISSN: 3066-2737

Volume: 2

Issue: 2

Date of Publication: 2025/02/03

DOI: 10.70780/medpeer.000QGLV

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 an adult male 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.

Keywords

incomplete common mesentery; LADD flange; duodenal ectasia; cholecystoduodenal fistula; subhepatic appendix; literature review;