{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T03:22:54Z","timestamp":1788146574755,"version":"build-2803163510"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T00:00:00Z","timestamp":1741824000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>The complete common mesentery (CCM) is due to a midgut malrotation that occurs during embryonic development. Cecal volvulus (CV) is an uncommon cause of acute intestinal obstruction in this circumstance. The bascule subtype is the rarest form and happens when the cecum folds anteriorly over the ascending colon.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Cases presentation:<\/jats:title>\n                    <jats:p>We present two cases of acute intestinal obstruction caused by Cecal Bascule (CB) due to complete common mesentery. Notably, one patient was initially admitted wrongly for a strangulated umbilical hernia and underwent surgery without prior imaging. Both patients had open surgery consisting of a right colectomy with primary intestinal anastomosis with an uneventful recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>During fetal development, the intestine rotates counterclockwise around the superior mesenteric artery. The disruption of this process leads to an anomaly called the complete common mesentery, associated with an abnormal fixation and an excessively mobile right colon positioned on the left of the abdomen. This abnormality can be revealed via a cecal volvulus with a bascule subtype, accounting for less than 10 % of all cecal volvulus. Right hemicolectomy with ileocolic anastomosis is the main treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Complete common mesentery is a rare anomaly that can lead to serious complications, including cecal volvulus. Diagnosing this condition via abdominal CT scan can be challenging due to the modified radiological anatomy. Surgeons and radiologists must recognize this pathology. Even less experienced visceral surgeons must be aware and should remain vigilant, as one emergency can hide another.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2025.111160","type":"journal-article","created":{"date-parts":[[2025,3,16]],"date-time":"2025-03-16T11:38:32Z","timestamp":1742125112000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Complete common mesentery revealed by a cecal bascule: Two case reports"],"prefix":"10.1097","volume":"129","author":[{"given":"Mohamed Ben","family":"Khalifa","sequence":"first","affiliation":[{"name":"General surgery Department Tahar sfar hospital Mahdia, Faculty of Medicine, University of Monastir Tunisia, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wajdi","family":"Missaoui","sequence":"additional","affiliation":[{"name":"General surgery Department Tahar sfar hospital Mahdia, Faculty of Medicine, University of Monastir Tunisia, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wassim","family":"Elguedr","sequence":"additional","affiliation":[{"name":"General surgery Department Tahar sfar hospital Mahdia, Faculty of Medicine, University of Monastir Tunisia, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghassen Hamdi","family":"Kbir","sequence":"additional","affiliation":[{"name":"A21 Surgery Department, Charles Nicolle Hospital, Faculty of Medicine of Tunis\/Tunis El Manar University, Rue 9 avril - 1007 Bab Saadoun, Tunis, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Maatouk","sequence":"additional","affiliation":[{"name":"A21 Surgery Department, Research Laboratory LR12ES01, Charles Nicolle Hospital, Faculty of Medicine of Tunis\/Tunis El Manar University, Rue 9 avril - 1007 Bab Saadoun, Tunis, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moez","family":"Boudokhane","sequence":"additional","affiliation":[{"name":"General surgery Department Tahar sfar hospital Mahdia, Faculty of Medicine, University of Monastir Tunisia, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"3","key":"R2-58-20260423","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.jviscsurg.2024.02.006","article-title":"Cecal volvulus in complete common mesentery","volume":"161","author":"Taki,","year":"2024","journal-title":"J. Visc. Surg."},{"issue":"5","key":"R3-58-20260423","doi-asserted-by":"crossref","first-page":"e48","DOI":"10.1016\/j.amjsurg.2007.11.029","article-title":"Caecal volvulus","volume":"196","author":"Habre,","year":"2008","journal-title":"Am. J. Surg."},{"issue":"9","key":"R5-58-20260423","doi-asserted-by":"crossref","first-page":"1437","DOI":"10.1007\/s00276-021-02775-w","article-title":"The \u201cComplete common mesentery\u201d and the agenesis of Toldt's and Fredet's fasciae","volume":"43","author":"Peltrini","year":"2021","journal-title":"Surgical and Radiologic Anatomy [Internet]."},{"issue":"9","key":"R6-58-20260423","doi-asserted-by":"crossref","first-page":"915","DOI":"10.1016\/S0221-0363(10)70136-0","article-title":"Oswald P, M. Grebici, Schmaltz C, P. Bruant, J.L. Burguet. M\u00e9sent\u00e8re commun complet r\u00e9v\u00e9l\u00e9 par une appendicite perfor\u00e9e gauche.","volume":"91","author":"Flesch","year":"2010","journal-title":"J. Radiol."},{"issue":"10","key":"R8-58-20260423","doi-asserted-by":"crossref","first-page":"3718","DOI":"10.1016\/j.radcr.2022.07.009","article-title":"Left-sided appendicitis revealing a common mesentery: a case report","volume":"17","author":"Hajjar","year":"2022","journal-title":"Radiology Case Reports [Internet]."},{"issue":"6","key":"R9-58-20260423","article-title":"Co-existence of an unusual branching pattern of Celiacomesenteric trunk with complete common mesentery in a 48-year-old man: a case report","volume":"16","author":"Harrabi,","year":"2022","journal-title":"American Journal of Men's Health [Internet]."},{"issue":"11","key":"R10-58-20260423","doi-asserted-by":"crossref","first-page":"1689","DOI":"10.1016\/j.lpm.2008.05.016","article-title":"\u00c0 propos d'un cas de m\u00e9sent\u00e8re commun complet de l'adulte r\u00e9v\u00e9l\u00e9 par une complication occlusive","volume":"37","author":"Jarry","year":"2008","journal-title":"La Presse M\u00e9dicale [Internet]."},{"issue":"2","key":"R11-58-20260423","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1002\/bjs.1800560211","article-title":"Caecal volvulus","volume":"56","author":"Dowling","year":"1969","journal-title":"Journal of British Surgery [Internet]."},{"issue":"5","key":"R12-58-20260423","doi-asserted-by":"crossref","first-page":"e48","DOI":"10.1016\/j.amjsurg.2007.11.029","article-title":"Caecal volvulus","volume":"196","author":"Habre,","year":"2008","journal-title":"The American Journal of Surgery."},{"issue":"4","key":"R13-58-20260423","doi-asserted-by":"crossref","first-page":"rju025","DOI":"10.1093\/jscr\/rju025","article-title":"Bascule caecal volvulus: a rare cause of intestinal obstruction.","volume":"2014","author":"Ramsingh","year":"2014","journal-title":"Journal of Surgical Case Reports."},{"key":"R14-58-20260423","first-page":"201","article-title":"Caecal bascule: a variant of caecal volvulus: review of diagnostic challenges and approaches","volume":"20","author":"Teo,","year":"2021","journal-title":"Surgeon"},{"issue":"9","key":"R15-58-20260423","doi-asserted-by":"crossref","first-page":"1046","DOI":"10.1097\/DCR.0000000000002159","article-title":"The American Society of Colon and Rectal Surgeons clinical practice guidelines for the Management of Colonic Volvulus and Acute Colonic Pseudo-Obstruction","volume":"64","author":"Alavi,","year":"2021","journal-title":"Dis. Colon Rectum"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225003463?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225003463?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2025.111160","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T21:01:40Z","timestamp":1776978100000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2025.111160"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":12,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2025.111160","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2025,4]]},"assertion":[{"value":"2025-01-12","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-13","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}