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- Title
Iliosigmoid knot: uncommon cause of intestinal obstruction in adults.
- Authors
Khalifa, Yasser M. H.
- Abstract
Iliosigmoid knot also known as a compound volvulus or double volvulus of ileum and sigmoid is a rare cause of intestinal obstruction, delay in diagnosis and subsequent surgical intervention can cause gangrene of both ileum and sigmoid colon with high incidence of mortality. We present a case of 35 years old Sudanese male who presented to our hospital with history of acute crampy abdominal pain, absolute constipation, infrequent vomiting, patient admitted with work up radiology which revealed a picture of volvulus sigmoid. patient underwent laparotomy which revealed wrapping of ileum around the base of sigmoid colon (double volvulus) with intact ileum and hugely distended sigmoid colon with mott ling and thinning of wall, untying of ileum, resection of sigmoid with end to end anastomosis aft er on table colonic preparation done, patient had smooth recovery and discharged on 8th day. Conclusion: Iliosigmoid knot (ISK) is a very rare cause of intestinal obstruction, discovered mostly intra-operatively in the course of presenting volvulus of sigmoid, Delay intervention in such case lead to dual gangrene of small and large bowel at site of twist.
- Subjects
BOWEL obstructions; INTESTINAL surgery; CONSTIPATION; VOMITING; SIGMOID colon; DISEASES
- Publication
Pakistan Journal of Surgery, 2016, Vol 32, Issue 3, p201
- ISSN
0258-8552
- Publication type
Article