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Case Reports
. 2020 Nov 25:13:1265-1269.
doi: 10.2147/IJGM.S279870. eCollection 2020.

A Case of Ileosigmoid Knotting in a Ghanaian Patient

Xuguang Li  1   2 , Seidu Mohamadu Zakariah  2 , Yongyong Shi  2   3
Affiliations
Case Reports

A Case of Ileosigmoid Knotting in a Ghanaian Patient

Xuguang Li et al. Int J Gen Med. .

Abstract

Ileosigmoid knotting is a rare condition in which a compound volvulus causes acute intestinal obstruction. In this process, the terminal ileum wraps around the base of the mesosigmoid and sigmoid colon, forming a knot. This condition tends to rapidly progress to gangrene of both the ileum and sigmoid colon; hence, the mainstay of treatment is timely emergency surgery. In this report, we describe the case of a 20-year-old Ghanaian female patient and discuss the available surgical options regarding ileosigmoid knotting.

Keywords: compound volvulus; ileosigmoid knotting; intestinal obstruction.

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Conflict of interest statement

The authors declare no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Supine abdominal radiograph showed a large gas-filled dilated bowel loop in the left mid and lower quadrants. The intestinal pneumatosis (arrow) can also be seen in the upper and right lower abdomen.
Figure 2
Figure 2
Intraoperative photographs show (A) gangrenous sigmoid colon, (B) gangrenous ileum loop and (C) cecum. Arrow: terminal ileum.
Figure 3
Figure 3
Postoperative photograph shows the surgical specimen (A: gangrenous sigmoid colon; B: gangrenous ileum loop).
See this image and copyright information in PMC

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References

    1. Puthu D, Rajan N, Shenoy GM, Pai SU. The ileosigmoid knot. Dis Colon Rectum. 1991;34(2):161–166. doi:10.1007/BF02049992 - DOI - PubMed
    1. Shepherd JJ. Ninety-two cases of ileosigmoid knotting in Uganda. Br J Surg. 1967;54(6):561–566. doi:10.1002/bjs.1800540615 - DOI - PubMed
    1. Alver O, Oren D, Tireli M, et al. Ileosigmoid knotting in Turkey. Review of 68 cases. Dis Colon Rectum. 2014;99(12):1139–1147. doi:10.1007/BF02052263 - DOI - PubMed
    1. Hashimoto T, Yamaguchi J, Fujioka H, et al. Two cases of ileosigmoid knot: the youngest reported patient and CT findings. Hepatogastroenterology. 2004;51:771–773. - PubMed
    1. Miller BJ, Borrowdale RC. Ileosigmoid knotting: a case report and review. Aust N Z J Surg. 1992;62(5):402–404. doi:10.1111/j.1445-2197.1992.tb07213.x - DOI - PubMed

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