Case Report

Agenesis of the dorsal mesentery presenting in an adolescent

Anith Chacko, Farzanah Ismail, Sirajudeen Ellemdin
South African Journal of Radiology | Vol 17, No 1 | a204 | DOI: https://doi.org/10.4102/sajr.v17i1.204 | © 2013 Anith Chacko, Farzanah Ismail, Sirajudeen Ellemdin | This work is licensed under CC Attribution 4.0
Submitted: 24 February 2013 | Published: 05 March 2013

About the author(s)

Anith Chacko, Department of Radiology, Steve Biko Academic Hospital and University of Pretoria, South Africa
Farzanah Ismail, Department of Radiology, Steve Biko Academic Hospital and University of Pretoria, South Africa
Sirajudeen Ellemdin, Department of Internal Medicine, Steve Biko Academic Hospital and University of Pretoria, South Africa

Abstract

Agenesis of the dorsal mesentery is a rare occurrence that usually presents in children. It is associated with proximal small bowel malrotation as well as high jejunal atresia with discontinuity of the small bowel. We present a case report of an adolescent presenting with clinical features of proximal small bowel obstruction (confirmed on imaging) as well as acute pancreatitis. At laparotomy, he was found to have no dorsal mesentery, without small bowel atresia, and the duodenum was fixed to the posterior abdominal wall. The patient recovered well and remained symptom-free.

Keywords

Absent dorsal mesentery; Small bowel malrotation and volvulus; Imaging small bowel malrotation;Pancreatitis

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