Ekehorn () and Faltin () in their studies classified the ileosigmoid knot according to bowel involved and arrangement of loops. The ileosigmoid knot (also known as compound volvulus) is a rare cause of intestinal obstruction [1]. The condition is initiated by loops of ileum wrapping around. he ileosigmoid knot (also known as compound volvulus) is a rare cause of intestinal obstruction [1]. The condition is initiated by loops of ileum wrapping.

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The initial management involves aggressive resuscitation with fluid and electrolytes with the help of central venous pressure monitoring, if required, and the correction of acid-base imbalance if any. Fluid-filled ileal loops with thin non-enhancing walls are seen dotted arrow.

Kakar A, Bhatnagar BN.

Ileosigmoid knot ISKalso known as compound volvulus, is an unusual and rare cause of intestinal obstruction. Vomiting, abdominal distension, abdominal pain, blood stained stools are frequent symptoms. Recurrent volvulus or repeat ileosigmiid due to redundancy of the loop may cause gangrene after surgery.

Ileosigmoid Knot | JAMA Surgery | JAMA Network

This article about a diseasedisorder, or medical condition is a stub. Skip to search form Skip to main content. A year-old male was brought ileossigmoid the emergency department with severe pain and distension of abdomen for 12 hours duration, which he developed in the later part of the night. Sign in to save your search Sign in to your personal account. Management of Ileosigmoid knotting.


Ileosigmoid knot: A case report

Journal List Indian J Surg v. Case of intestinal obstruction: Diagnosis Despite the critical condition, preoperative diagnosis is not easy. ISK is very rare in many parts of the world. Current Research View More. Introduction Ileosigmoid knot also known as compound volvulus is an unusual and rare cause of intestinal obstruction. Ninety two cases of Ileosigmoid knotting in Uganda.

Ileosigmoid knot

kno Its treatment is different from a simple volvulus in that it has to be operated upon immediately. Privacy Policy Terms of Use. Footnotes Source of Support: National Center for Biotechnology InformationU. Indian J Radiol Imaging. Atypical Presentation of Ileo-Sigmoid Knot: The condition is serious, generally progressing rapidly to gangrene of both ileum and sigmoid colon. On immediate exploration after resuscitation, we found minimal haemorrhagic intraperitoneal fluid and gangrenous total colon, gangrenous distal ileal loop twisted around the base of the gangrenous sigmoid loop.

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A case of ileosigmoid knotting in a uleosigmoid. Ileosigmoid knot, Compound volvulus, Intestinal obstruction. There is medial deviation of the cecum with a pointed medial border thick arrow.

Generalized peritonitis and sepsis is the main cause of poor outcome. Related articles Compound volvulus; ileosigmoid knot; intestinal obstruction. Axial CT scan of the abdomen A shows a dilated loop of the sigmoid colon with a thinned-out wall thin arrow.


Atypical Presentation of Ileo-Sigmoid Knot: A Rare Case | OMICS International

A gangrenous loop of ileum encircling base of loop of gangrenous sigmoid colon was found Figure 2. We present one such patient we encountered and outline our management, and discuss the surgical options ileosgmoid.

Indian J Radiol Imaging ; Purchase access Subscribe to JN Learning for one year. This page was last edited on 26 Octoberat Stretched superior mesenteric vessels converged toward the whirl. Citations Publications citing this paper. Retrieved from ” https: Complications and diagnosis of Meckel’s diverticulum in patients. American journal of roentgenology Ileosigmoid knot also known as compound volvulus is ileosogmoid unusual and rare cause of intestinal obstruction.

Plain film of the abdomen showed dilatation of the small intestine with a gas and air fluid level, with an associated moderately distended, and obstructed sigmoid loop. This is because the ileum tightly envelops the base of the sigmoid colon, defying any such attempt. Patient was on regular follow-up and his general condition improved after 3 months when he was planned ileosiymoid relaparotomy and ileorectal anastomosis was done.

A long small bowel mesentery and freely mobile small bowel.