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Case Reports
. 2022 May 15;10(5):e05878.
doi: 10.1002/ccr3.5878. eCollection 2022 May.

Appendico-ileal knotting causing small bowel obstruction: A case report

Tewodros Abule  1 , Tsegaye Chebo  2 , Bruke Berhanu Billoro  3   4
Affiliations
Case Reports

Appendico-ileal knotting causing small bowel obstruction: A case report

Tewodros Abule et al. Clin Case Rep. .

Abstract

Small bowel obstruction (SBO) is a common cause of emergency admission to surgical ward. The etiologies for the majority of these cases include postoperative adhesions and hernia. However, acute appendicitis presenting with SBO due to appendico-ileal knotting is a very rare and unsuspected condition in an emergency scenarios. We report a case of acute SBO in a 30-year-old female patient who was explored, and found to have appendico-ileal knotting causing SBO.

Keywords: Wachemo University; appendicular knot; band; small bowel obstruction.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Erect plain abdominal X‐ray showing multiple air fluid levels with paucity of air in the rectum
FIGURE 2
FIGURE 2
Dilated small bowel loop with appendix causing terminal obstruction
FIGURE 3
FIGURE 3
Appendiceal knot formed by adherence of the appendix to part of the mesentery of terminal ileum
FIGURE 4
FIGURE 4
Depiction of appendix wrapping around the loop of ileum. (Reproduced with permission from Menon et al 2 )
See this image and copyright information in PMC

References

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