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Case Reports
. 2022 Sep 7:83:104532.
doi: 10.1016/j.amsu.2022.104532. eCollection 2022 Nov.

A rare cause of acute intestinal obstruction: Ileo-sigmoid knotting type IIA

Mohammed A Alsuhaimi  1 , Mohammed A Aljaysh  1 , Hallah S Alghamdi  1 , Majed S Alotaibi  1 , Abdullah A Alghamdi  1
Affiliations
Case Reports

A rare cause of acute intestinal obstruction: Ileo-sigmoid knotting type IIA

Mohammed A Alsuhaimi et al. Ann Med Surg (Lond). .

Abstract

Ileosigmoid Knotting is a rare cause of intestinal obstruction which occurs as a consequence of ileum or sigmoid colon wrapping around the base of each other resulting in double closed-loop bowel obstruction. We report a case of a 52-year-old male who presented in the emergency department with sudden onset of abdominal pain and vomiting. On clinical examination, the abdomen was tender and distended. A chest and abdomen x-ray showed a distended stomach and no sign of bowel obstruction. A computed tomographic scan (CT) revealed a closed-loop intestinal obstruction. We planned urgent Surgery, and the finding was an Ileosigmoid knotting typeIIA is rarely encountered in surgical practice.

Keywords: CT scan; Ileosigmoid knotting; Intestinal obstruction; Surgery.

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Conflict of interest statement

No conflict of interest, and there was no funding or financial assistance in this case.

Figures

Fig. 1
Fig. 1
A. Abdominal X-ray, with only distended stomach and no signs of bowel obstruction. B, C, D. CT Abdominal Images Showing the ileo segment closed loop obstruction.
Fig. 2
Fig. 2
A. Showing the questionable ileum and ileo-sigmoid knotting. B. A clearer picture of the ileo-sigmoid knotting showing it’s a type II A. C. Showing the redundant sigmoid. D. Showing the resected sigmoid colon.
See this image and copyright information in PMC

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