Ileosigmoid knotting: a rare cause of acute intestinal obstruction in an elderly patient
DOI:
https://doi.org/10.18203/2349-2902.isj20231399Keywords:
ISK, Compound volvulus, Double volvulus, Acute intestinal obstruction, Intestinal knottingAbstract
Ileosigmoid knotting (ISK) is difficult to diagnose preoperatively due to its rarity and uncommon presentation. It has a high mortality rate; hence early diagnosis and immediate surgical intervention are required. This report describes a case in an 80-year-old male patient with gangrenous ileal loops and sigmoid colon and was managed with resection of gangrenous bowel loops and double stoma, Patient was discharged with a functional stoma and good well-being and was further followed up.
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References
Parker E. Case of intestinal obstruction: Sigmoid flexure strangulated by the ileum. Edinb Med Surg J. 1845;64:306-08.
Paul M. Volvulus of the intestine with intertwining loops. The Lancet. 1940;236(6122):809-10.
Burkitt D. Acute abdomens-British and Baganda compared. East Afr Med J. 1952;29(5):189-94.
Dunkerley GE. Intestinal obstruction due to knotting of two loops of the small intestine. Br J Surg. 1953;41(165):66-70.
Atamanalp S, Ören D, Başoğlu M. Ileosigmoidal Knotting: Outcome in 63 Patients. Dis Colon Rectum. 2004;47:906-10.
Ooko PB, Saruni S, Oloo M, Topazian HM, White R. Ileo-sigmoid knotting: a review of 61 cases in Kenya. Pan Afr Med J. 2016;23:198.
Narasimha Reddy G, Sekhar GR, Akther MJ, Shaik SU. Atypical presentation of ileo-sigmoid knot-a rare case, Glob. Surg. 2015;1
Abebe K, Sherefa K, Teshome H, Abebe E. Ileosigmoid knotting: analysis of patients clinical profiles and determinants of outcomes. Surg Res Pract. 2020;23:3826138.
Machado NO. Ileosigmoid knot: a case report and literature review of 280 cases. Ann Saudi Med. 2009;29(5):402-6.
Atamanalp SS. Ileosigmoid knotting: clinical appearance of 73 cases over 45.5 years. ANZ J Surg. 2013;83(1-2):70-3.
Atamanalp SS. Treatment for ileosigmoid knotting: a single-center experience of 74 patients. Tech Coloproctol. 2014;18(3):233-7.
Shepherd JJ. Ninety-two cases of ileosigmoid knotting in Uganda. Br J Surg. 1967;54(6):561-6.
Vaez-Zadeh K, Dutz W. Ileosigmoid knotting. Ann Surg. 1970;172(6):1027-33.
Alver O, Oren D, Tireli M, Kayabasi B, Akdemir D. Ileosigmoid knotting in Turkey. Review of 68 cases. Dis Colon Rectum. 1993;36:1139-4.
Cakir M, Tekin A, Kucukkartallar T, Kartal A. Ileosigmoid knotting, an unusual form of acute intestinal obstruction. Acute Med Surg. 2015;2(4):234-6.