The Intestinal Knot Syndrome

Ileocecal knotting in a young man: A very rare and unique cause of intestinal obstruction

“…The earliest reported case was that of Parker in 1845, entitled, "Case of Intestinal Obstruction: Sigmoid Flexure Strangulated by the Ileum". 3 Since then, there are a lot of reports of iliosigmoid knotting in world literature especially from Africa including Ethiopia. 9,10 The other rarer varieties reported are ileocecal, ileoileal knots, and appendiculoileal knotting.…”

“…Our patient presented with a 2 days history of symptoms in a state of shock and had majority of small bowel, cecum, and ascending colon gangrenous. 3 Diagnosis of ileocecal knotting by the usual a preoperative erect plain film of abdomen is very difficult. Certain CT features of ileocecal knotting were described by Menen T and colleagues.…”

“…In this situation, devitalization of both segments occurs, and the prognosis is grave unless urgent surgical intervention is done. [3][4][5][6] Preoperative diagnosis of intestinal obstruction due to knotting is quite difficult if not impossible.…”