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Topographical anatomy of the greater omentum and transverse mesocolon: a study using human fetuses
Daisuke Suzuki,Ji Hyun Kim,Shunichi Shibata,Gen Murakami,José Francisco Rodríguez-Vázquez 대한해부학회 2019 Anatomy & Cell Biology Vol.52 No.4
The greater omentum covers the transverse colon from the anterior side in adults, but people might believe the morphology stable once established during fetal life. Sections from 49 midterm and 17 late-stage human fetuses, of gestational ages (GA) 8–15 and 30–38 weeks, respectively, showed complete fusion between the greater omentum and transverse mesocolon after physiological herniation at GA 8–9 weeks; the transverse colon attaching to the anterior aspect of the gastric antrum and pylorus at GA 10–15 weeks; the colon pushing the pylorus or superior portion of the duodenum upward (at GA 10–15 weeks and 30–38 weeks); and the greater omentum without covering the greater portion of the jejunum and ileum but shifted leftward (at GA 30–38 weeks). These subsequent topographical variations of the transverse colon with the stomach and duodenum included the colon tightly fusing with the stomach by a fibrous tissue and; the greater omentum and/or the mesocolon wedged between the stomach and transverse colon. Therefore, in combination, the colon was partly separated from the greater omentum. Moreover, at GA 30–38 weeks, the duodenum consistently showed a horizontal loop in contrast to the usual C-loop in the frontal plane. Consequently, after a complete fusion occurred once between the greater omentum and transverse mesocolon, the topographical change of the upper abdominal viscera seemed to modify, change or even break the initial fusion of the peritoneum. A logical lamination of the peritoneum seemed not to simply connect with the surgical application.
Ascariasis Presenting as Hematoma in the Sigmoid Mesocolon: A Case Report
김지은,배경은,김현정,배병노,이지혜,강미진,김지영,김재형 대한영상의학회 2020 대한영상의학회지 Vol.81 No.4
Ascariasis is an intestinal disease caused by Ascaris lumbricoides. Most patients with ascariasis are asymptomatic; however, the presence of many larvae in the bowel can cause gastrointestinal complications, such as intestinal obstruction, obstructive jaundice, cholangitis, cholecystitis, and pancreatitis. Herein, we report a case of ascariasis presenting as hematoma and active bleeding in the sigmoid mesocolon of a 74-year-old man on computed tomography (CT). Sigmoid colon perforation was also detected on follow-up CT. Laparoscopic low anterior resection was performed; there was a large hematoma in the sigmoid mesocolon. Roundworms were microscopically identified in the mesenteric adipose tissue. The clinical and CT findings of this unusual presentation of ascariasis revealed serial complications during parasite migration from the intestinal lumen to the peritoneal cavity.
Prakashchandra Shetty,Satheesha B Nayak 대한해부학회 2014 Anatomy & Cell Biology Vol.47 No.4
Congenital anomalies such as positional anomalies of the right half of the colon are more common when compared to its left half. We report a rare case of congenital anomaly where the transverse colon was totally absent. Ascending colon continued as descending colon at the right colic flexure. Ascending and descending colons formed an inverted U shaped loop which was situated in the right half of the abdomen. The sigmoid colon began from the descending colon, on the right side of the midline and coursed to the left iliac fossa. The terminal part of ascending colon and entire descending colon had a persistent mesocolon. The jejunum and ileum were situated in the upper left part of the abdominal cavity. This anomaly can cause volvulus of the colon at any stage of life. Furthermore, the knowledge of this anomaly is very useful for radiologists, gastroenterologists and surgeons.
최수윤,김홍,홍정,Choi, Su-Yun,Kim, Hong,Hong, Jeong 대한소아외과학회 2004 소아외과 Vol.10 No.1
Visceral lipoma originating from the mesentery is very rare in childhood. A 29-month-old male presented with painless abdominal distension. Abdominal ultrasonography and CT revealed a huge multilobulated hypodense mass in the peritoneal cavity. Exploratory laparotomy showed a $26{\times}25{\times}5cm$ sized encapsulated, lobulated, homogenous mass, which originated from the transverse mesocolon. Histologic examination revealed a lipoma. The postoperative course was uneventful.
Solitary Fibrous Tumors of the Mesocolon: A Report of Two Cases and Review of Literature
Madhur M Pardasani,Phani Kumar Nekarakanti,Bheerappa Nagari,Surya Ramachandra Varma Gunturi,Ashish Kumar Bansal,Shantiveer G Uppin 대한소화기학회 2023 대한소화기학회지 Vol.82 No.2
Solitary fibrous tumors (SFTs) are an uncommon group of neoplasms. The visceral pleura is the most common site of origin of these tumors. The colonic mesentery is an unusual site of origin of SFTs. A pre-operative diagnosis of SFT is challenging as there are no pathognomonic clinical or radiological signs. Most patients reported thus far were diagnosed post-operatively with the aid of immunohistochemical markers. Complete surgical excision is the treatment of choice for SFTs. Recurrences are uncommon. However, they can occasionally show aggressive behavior. In this report, we describe two cases of rare colonic mesentery SFTs.
Jeong, Yeon Jun,Cho, Baik Hwan,Kinugasa, Yusuke,Song, Chang Ho,Hirai, Ichiro,Kimura, Wataru,Fujimiya, Mineko,Murakami, Gen Wiley Subscription Services, Inc., A Wiley Company 2009 Clinical anatomy Vol.22 No.6
<P>The developing mesocolon transversum was investigated using hematoxylin and eosin-stained semiserial sections derived from 17 human fetuses between 12 and 30 weeks of gestation. The mesocolon was attached to the mesoduodenum and greater omentum until 12 weeks. However, the fetal duodenal attachment appeared not to correspond to the right colic flexure in adults. The greater omentum and mesocolon were likely to be irregularly folded at the attachment site possibly because the developing transverse colon “ran into” and pushed up the greater omentum and pancreatic head. Lymphatic vessels invaded the indistinct fusion plane to destroy the primary configuration. Moreover, the mesocolon seemed to “seize” or take-over some parts of the splenic side of the greater omentum, but the thick gastric side containing the right gastroepiploic artery and vein remained along the greater curvature. Until 20 weeks, the left colic flexure was fixed to the pancreatic tail, and near the flexure the mesocolon also fused with the renal fascia. The left splenic end of the greater omentum was folded and fused together to form a thick ligament-like structure, i.e., the gastrocolic ligament. In addition, near the duodenojejunal junction, a peritoneal bridge was often seen containing the inferior mesenteric artery or vein. Although surgeons generally believe that the mesocolon can be gently detached from the greater omentum, the fusion plane in adults appears to be the result of secondary modification and simplification by vascular development. Clin. Anat. 22:716–729, 2009. © 2009 Wiley-Liss, Inc.</P>
Nonoperative management of colon and mesocolon injuries caused by blunt trauma: three case reports
Lee Naa,Jeong Euisung,Jang Hyunseok,박윤철,조영권,김정철 대한외상학회 2022 大韓外傷學會誌 Vol.35 No.4
The therapeutic approach for colon injury has changed continuously with the evolution of management strategies for trauma patients. In general, immediate laparotomy can be considered in hemodynamically unstable patients with positive findings on extended focused assessment with sonography for trauma. However, in the case of hemodynamically stable patients, an additional evaluation like computed tomography (CT) is required. Surgical treatment is often required if prominent mesenteric extravasation, free fluid, bowel infarction, and/or colon wall perforation are observed. However, immediate intervention in hemodynamically stable patients without indications for surgical treatment remains questionable. Three patients with colon and mesocolon injuries caused by blunt trauma were treated by nonoperative management. At the time of admission, they were alert and their vital signs were stable. Colon and mesocolon injuries, large hematoma, colon wall edema, and/or ischemia were revealed on CT. However, no prominent mesenteric extravasation, free fluid, bowel infarction, and/or colon wall perforation were observed. In two cases, conservative treatment was performed without worsening abdominal pain or laboratory tests. Follow-up CT showed improvement without additional treatment. In the third case, follow-up CT and percutaneous drainage were performed in considering the persistent left abdominal discomfort, fever, and elevated inflammatory markers of the patient. After that, outpatient CT showed improvement of the hematoma. In conclusion, nonoperative management can be considered as a therapeutic option for mesocolon and colon injuries caused by blunt trauma of selected cases, despite the presence of large hematoma and ischemia, if there are no clear indications for immediate intervention.
최용준 ( Yong Jun Choi ),박진석 ( Jin Seok Park ),김경은 ( Gyung Eun Kim ),한지영 ( Jee Young Han ),나소연 ( So Yun Nah ),방병욱 ( Byoung Wook Bang ) 대한소화기학회 2014 대한소화기학회지 Vol.63 No.5
Colonoscopic examination is a safe procedure, however, unexpected complications can sometimes occur. Bleeding and perforation of the colon have been reported as the most common complications. Hemoperitoneum after colonoscopy is an unusual complication, but it may be catastrophic. We report on a 20-year-old man who experienced left low quadrant pain after undergoing colonoscopy. Hemoperitoneum was diagnosed using abdominal CT. A laparoscopic exploration was urgently performed, revealing a lacerated mesocolon of the descending colon. Bleeding of the injured site was controlled without complication. The patient recovered fully without signs of recurrent bleeding. This report implies that if the patient has persistent abdominal pain after undergoing colonoscopy, we should consider hemoperitoneum as one of the causes. To the best of our knowledge, no case of isolated laceration of the mesocolon of the descending colon after colonoscopy has been reported.
김문범(Moon Beom Kim),한상영(Sang Young Han),강도영(Do Young Kang),김선택(Sun Tac Kim),박일(Il Park),배상문(Sang Moon Bae),김재석(Jae Seok Kim),노명환(Myung Hwan Noh),최석렬(Seok Reyol Choi),신우원(Woo Won Shin) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.3
Malignant schwannoma(peripheral nerve sheath tumor) is relatively rare tumor. The extremity, trunk, head and neck are most frequently affected. We experienced a case of malignant schwan- noma in descending mesocolon which is very rare site. The patient was a 45-year-old ma]e who complained of abdominal distension. Abdominal CT scan showed a huge lobulated heterogeneous mass on abdominal and pelvic cavity. Abdominal exploration revealed a yellowish gray, friable, nodular and huge mass infiltrating sma]l bowel, large bowel and peritoneum partially. The tumor was resected with left hemicolectomy and partial resection of peritoneum and small bowel. Both histological and immuno-histochemical stain with S-100 protein revealed that it was a malignant schwannoma. The patient has received two courses of systemic chemotherapy and visited regulary at out-patient department. (Korean J Gastroenterol 1996; 28:439-444)