Ileosigmoid knot which is a cause of acute abdomen at 28 week of pregnancy: A rare case report

Toktaş, Osman; Çim, Numan

doi:10.5505/ejm.2017.35220

Cited by 3 publications

(10 citation statements)

References 12 publications

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“…9 Initial management of ileosigmoid knot begins with aggressive intravenous fluid resuscitation and acid-base imbalance correction. 10 Surgical intervention should follow after the achievement of hemodynamic stability. 10 Antibiotic therapy should be implemented in the pre-and post-operative periods for 5-7 days with, for example, cephalosporins, metrodanatzol, and aminoglycosides.…”

Section: Discussionmentioning

confidence: 99%

<p>Ileosigmoid Knotting: A Rare Cause of Intestinal Obstruction and Bowel Ischemia—Case Report with Literature Review</p>

Shuaib

Khairy

Aljasmi

et al. 2020

OAEM

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Ileosigmoid knotting, also known as compound volvulus or double volvulus, is a rare surgical emergency causing intestinal obstruction. Principally, it is a closed-loop intestinal obstruction that involves the sigmoid and ileum. It is considered a rare cause of intestinal obstruction. Differentiation of ileosigmoid knot from simple sigmoid volvulus is important because endoscopic decompression in ileosigmoid knot might be hazardous and even fatal. Endoscopic decompression of ileosigmoid knot may lead to perforation or injury. The mortality rate of ileosigmoid knot in general may reach 48%. We present a case of a 30year-old male patient who presented with ileosigmoid knot at our emergency room. The aim of reporting this case is to increase understanding of the condition to promote earlier diagnosis.

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Section: Discussionmentioning

confidence: 99%

<p>Ileosigmoid Knotting: A Rare Cause of Intestinal Obstruction and Bowel Ischemia—Case Report with Literature Review</p>

Shuaib

Khairy

Aljasmi

et al. 2020

OAEM

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“…Management should begin with aggressive fluid resuscitation, electrolyte balance, correction of acid-base imbalance and a five-to-seven-day course of antibiotics. The usual combination of cephalosporin, aminoglycosides, and metronidazole should be commenced immediately [19]. Care should be taken to manage the shock aggressively and promptly in the patient to allow early surgical intervention, since this has been shown to increase the survival of these patients [19].…”

Section: Management and Treatmentmentioning

confidence: 99%

“…The usual combination of cephalosporin, aminoglycosides, and metronidazole should be commenced immediately [19]. Care should be taken to manage the shock aggressively and promptly in the patient to allow early surgical intervention, since this has been shown to increase the survival of these patients [19].…”

Section: Management and Treatmentmentioning

confidence: 99%

“…Immediate surgical intervention should be instituted as soon as hemodynamic stability and resolution of shock is achieved [19]. Surgery achieves the following: i. resection or release of the knot, ii.…”

Section: Surgical Treatmentmentioning

confidence: 99%

“…A poor outcome is usually the result of peritonitis and sepsis in ISK [5]. Avoiding colostomy reduces patient morbidity and the cost of health care [5,[19][20][21]. Reported mortality from ISK is reported to range from 0-48%, with a mean of 35.5% [4].…”

Section: Outcomementioning

confidence: 99%

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Review of Management of Ileosigmoid Knotting

Kazuma¹,

Chirengendure²,

Simunyama³

et al. 2021

IJSCR

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Ileosigmoid knotting (ISK) is a rare type of intestinal obstruction caused by knotting of the mesentery of the ileum or sigmoid colon that rapidly progresses to gangrene with a high risk of mortality and high morbidity. The incidence of ISK is not well established, but it is higher in regions with high rates of sigmoid volvulus and in countries along the sigmoid belt. Clinical presentation is that of both small-bowel and large bowel obstruction and includes vomiting and nausea, abdominal pain, tenderness, and distention, with constipation. A contrast-enhanced computer tomography (CT) scan is the preferred modality for imaging. Management involves hemodynamic stabilisation with correction of shock using aggressive fluid resuscitation, electrolyte balance and commencement of antibiotics. Principles of surgery include resection of the knot, resection of the gangrenous bowel and establishing intestinal continuity. The outcome is generally complicated by peritonitis and sepsis that lead to mortality.

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Ileosigmoid knotting: A case report of unique cause of acute abdomen in a Nepalese patient

Subedi

Gupta

Neupane

et al. 2022

International Journal of Surgery Case Reports

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Introduction and importance Ileosigmoid knotting is a surgical emergency. Common in Asian males, it is presented with signs and symptoms of diffuse peritonitis. Aggressive resuscitation with intravenous fluids and antibiotics followed by workup enable the patient hemodynamically stable. Explorative laparotomy followed by colo-colic anastomosis and double barrel ileostomy is curative. Case presentation A 32-year-old-male from Nepal with a chief complain of diffuse abdominal pain for a day and signs of peritonitis presented to Emergency room. After assessing and stabilizing the patient, explorative laparotomy was performed. Ileal and sigmoid resection followed by colo-colic anastomosis and double barrel ileostomy was done. On regular follow-up, he is in his usual state of health. Discussion The incidence of ileosigmoid knotting is reported to be about 1.6 cases per year. It is often misdiagnosed as non-specific intestinal obstruction which confers poor prognostic value to the patient. It should be identified promptly and intervened timely. Conclusion Ileosigmoid knotting is a rare but dangerous differential of acute abdomen not to be missed. Early assessment and quick decision making is the key to provide excellent prognosis to the patient in need, provided adequate surgical skills are demonstrated.

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Ileosigmoid knot which is a cause of acute abdomen at 28 week of pregnancy: A rare case report

Cited by 3 publications

References 12 publications

<p>Ileosigmoid Knotting: A Rare Cause of Intestinal Obstruction and Bowel Ischemia—Case Report with Literature Review</p>

<p>Ileosigmoid Knotting: A Rare Cause of Intestinal Obstruction and Bowel Ischemia—Case Report with Literature Review</p>

Review of Management of Ileosigmoid Knotting

Ileosigmoid knotting: A case report of unique cause of acute abdomen in a Nepalese patient

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