A Challenging Case of Ileosigmoid Knotting in an Elderly

A Challenging Case of Ileosigmoid Knotting in an Elderly

Ileosigmoid knotting (ISK) is one of the rare causes of acute intestinal obstruction, which has a rapid course for forming gangrene. ISK is considered a variant of sigmoid volvulus, which otherwise is called compound volvulus. The difficulty in ISK diagnoses is owing to its rarity, uncommon presenta...

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Veröffentlicht in:Curēus (Palo Alto, CA) CA), 2020-08, Vol.12 (8)
Hauptverfasser: Singh, Pradeep Kumar, Ali, Manwar S, Manohar, Das B, Sethi, Mahesh
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Emergency Medicine
General Surgery
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Ali, Manwar S
Manohar, Das B
Sethi, Mahesh
description Ileosigmoid knotting (ISK) is one of the rare causes of acute intestinal obstruction, which has a rapid course for forming gangrene. ISK is considered a variant of sigmoid volvulus, which otherwise is called compound volvulus. The difficulty in ISK diagnoses is owing to its rarity, uncommon presentation, and non-specific radiological findings. The physiological status of the patient and intraoperative findings are the key factors in deciding the operative procedure of choice. Herein the author describes a rare case of ISK in a 70-year-old man with gangrenous ileum and sigmoid colon, which were treated successfully with resection and double stoma.
doi_str_mv 10.7759/cureus.9624
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General Surgery
title A Challenging Case of Ileosigmoid Knotting in an Elderly
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