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Case Report

Online Publishing Date:
03 / 10 / 2022

 


Closed loop intestinal obstruction secondary to Ileo-sigmoid knotting (ISK) – A diagnostic challenge

Irfan Khan, Varun Kumar Singh, Zainab Qasim.


Abstract
Intestinal obstruction due to Ileo-sigmoid knotting is a rare phenomenon associated with a high mortality rate leading to bowel gangrene and peritonitis. We present a rare cause of closed-loop intestinal obstruction in a 46-year-old male patient who presented to the emergency department with complaints of severe abdominal pain, distension and multiple episodes of vomiting in the past 1 day. Prompt resuscitation and exploratory laparotomy revealed knotting of the sigmoid colon around the mesentery of the small intestine with segmental gangrene of both the sigmoid colon and small intestine. Resection of the gangrenous ileal segment with end-to-end anastomosis followed by Hartman’s procedure to the gangrenous sigmoid colon. Ileo-sigmoid knotting is a surgical emergency with rapid progression to bowel gangrene and peritonitis, leading to sepsis and a very high mortality rate. Early diagnosis, fluid resuscitation and prompt surgical intervention are key steps towards management.

Key words: Closed loop obstruction, Ileo-sigmoid knotting


 
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How to Cite this Article
Pubmed Style

Khan I, Singh VK, Qasim Z. Closed loop intestinal obstruction secondary to Ileo-sigmoid knotting (ISK) – A diagnostic challenge. Int J Med Rev Case Rep. 2022; 6(22): 1-2. doi:10.5455/IJMRCR.172-1653809490

Web Style

Khan I, Singh VK, Qasim Z. Closed loop intestinal obstruction secondary to Ileo-sigmoid knotting (ISK) – A diagnostic challenge. https://www.mdpub.net/?mno=50398 [Access: April 04, 2024]. doi:10.5455/IJMRCR.172-1653809490

AMA (American Medical Association) Style

Khan I, Singh VK, Qasim Z. Closed loop intestinal obstruction secondary to Ileo-sigmoid knotting (ISK) – A diagnostic challenge. Int J Med Rev Case Rep. 2022; 6(22): 1-2. doi:10.5455/IJMRCR.172-1653809490


Vancouver/ICMJE Style

Khan I, Singh VK, Qasim Z. Closed loop intestinal obstruction secondary to Ileo-sigmoid knotting (ISK) – A diagnostic challenge. Int J Med Rev Case Rep. (2022), [cited April 04, 2024]; 6(22): 1-2. doi:10.5455/IJMRCR.172-1653809490


Harvard Style

Khan, I., Singh, . V. K. & Qasim, . Z. (2022) Closed loop intestinal obstruction secondary to Ileo-sigmoid knotting (ISK) – A diagnostic challenge. Int J Med Rev Case Rep, 6 (22), 1-2. doi:10.5455/IJMRCR.172-1653809490


Turabian Style

Khan, Irfan, Varun Kumar Singh, and Zainab Qasim. 2022. Closed loop intestinal obstruction secondary to Ileo-sigmoid knotting (ISK) – A diagnostic challenge. International Journal of Medical Reviews and Case Reports, 6 (22), 1-2. doi:10.5455/IJMRCR.172-1653809490


Chicago Style

Khan, Irfan, Varun Kumar Singh, and Zainab Qasim. "Closed loop intestinal obstruction secondary to Ileo-sigmoid knotting (ISK) – A diagnostic challenge." International Journal of Medical Reviews and Case Reports 6 (2022), 1-2. doi:10.5455/IJMRCR.172-1653809490


MLA (The Modern Language Association) Style

Khan, Irfan, Varun Kumar Singh, and Zainab Qasim. "Closed loop intestinal obstruction secondary to Ileo-sigmoid knotting (ISK) – A diagnostic challenge." International Journal of Medical Reviews and Case Reports 6.22 (2022), 1-2. Print. doi:10.5455/IJMRCR.172-1653809490


APA (American Psychological Association) Style

Khan, I., Singh, . V. K. & Qasim, . Z. (2022) Closed loop intestinal obstruction secondary to Ileo-sigmoid knotting (ISK) – A diagnostic challenge. International Journal of Medical Reviews and Case Reports, 6 (22), 1-2. doi:10.5455/IJMRCR.172-1653809490


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