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Mobile Colon – A Developmental Anomaly of the Large Intestine


Affiliations
1 Assistant Professor, Department of Anatomy, Baba Farid University of Health Sciences, Government Medical College, Amritsar – 143001, Punjab, India
2 Professor and Head, Department of Anatomy, Baba Farid University of Health Sciences, Government Medical College, Amritsar – 143001, Punjab, India
3 Post Graduate Student, Department of Anatomy, Baba Farid University of Health Sciences, Government Medical College, Amritsar – 143001, Punjab, India
 

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.

Keywords

Large Intestine, Mobile Colon, Zygosis.
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  • 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

  • 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

  • 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 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 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

  • 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 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

  • Solanke TF. Intestinal obstruction in Ibadan. West Afr Med J Niger Pract. 1948; 17:191–3.

  • 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 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.

  • Frazer JE, Robbins RH. On the factors concerned in causing rotation of intestine in man. J Anat Physiol. 1915; 50:75–110.

  • Houston WR. The Mobile Right Colon. J Am Med Assoc. 1929; 93(10):766–8. https://doi.org/10.1001/jama. 1929.02710100028011

  • 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

  • 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

  • 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

  • Brooks L. Mobile Right Colon: Clinical Consequences. Cal West Med. 1937; 46(1):14–20. [PubMed: 18743908].

  • 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/S0039- 6109(16)32484-7

  • 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

  • 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

  • Ris HB, Stimemann H, Doram JE. The mobile caecum syndrome and ceacopexy or only appendectomy? Chisung. 1989; 60:277–82.

  • 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

  • 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

  • Fung AT, Konkin DE, Kanji ZS. Malrotation with Midgut volvulus in an adult: A case report and review of the literature. J Surg Case Reports. 2017; 5:1–3. PMid: 28560023 PMCid: PMC5441244. https://doi.org/10.1093/ jscr/rjx081

  • Printer KJ. Mobile cecal syndrome in adults. Am Surg. 1976; 42(3):204–5.


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  • Mobile Colon – A Developmental Anomaly of the Large Intestine

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Authors

Anuradha Dehiya
Assistant Professor, Department of Anatomy, Baba Farid University of Health Sciences, Government Medical College, Amritsar – 143001, Punjab, India
Ravi Kant Sharma
Professor and Head, Department of Anatomy, Baba Farid University of Health Sciences, Government Medical College, Amritsar – 143001, Punjab, India
Sehajdeep Kaur
Post Graduate Student, Department of Anatomy, Baba Farid University of Health Sciences, Government Medical College, Amritsar – 143001, Punjab, India

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.

Keywords


Large Intestine, Mobile Colon, Zygosis.

References





DOI: https://doi.org/10.18311/ijmds%2F2022%2F215596