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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Raveenthiran described a triad which may be useful in preoperative diagnosis. Ilio-sigmoid knotting in Addis Ababa: The iileosigmoid antibiotic combination includes cephalosporins, aminoglycosides, and metranidazole.

Ileosogmoid radiograph reveals a large gas-filled loop of the bowel in the right mid and lower quadrants Click here to view. Please review our privacy policy. By clicking accept or continuing to use the site, you agree to the terms outlined in our Privacy PolicyTerms of Serviceand Dataset License. Our case was type I, A ileosigmoid knot.

The first case report in a French girl. Dilated sigmoid loop small arrowmedially deviated and distended descending colon large arrow and dilated loops of small intestine arrow head. Ileosigmoid knotting in Turkey.


Clinics in Colon and Rectal Surgery. The patient was resuscitated with IV fluids and started on IV cefuroxime and metronidazole and was taken up for laparotomy 4 hours after admission for suspected ISK based on both the small gut and sigmoid colon obstructive features on plain x-ray of the abdomen. Classification ISK has been categorized into the following three types: Journal List Indian J Surg v.

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The ileosigmoid knot. – Semantic Scholar

Get free access to newly published articles Create a personal account or sign in to: Dis Colon Rectum ; American journal of roentgenology In summary, ISK is a rare cause of intestinal obstruction.

Etiopathogenesis Three factors are responsible for the ileosigmoid knot [ 3716 ]: Support Center Support Center. Showing gangrenous transverse colon, ileum and sigmoid colon. Table 2 Predisposing factors and pre-operative investigation done for diagnosis as by various authors.

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

Sign in to download free article PDFs Sign in to access your subscriptions Sign in to your personal account. Prompt treatment ileosigmpid mandatory. Ileosigmoid knot as such is a very rare cause of intestinal obstruction and a high degree of suspicion is needed in cases mimicking sigmoid volvulus. In recent years, CT has been i,eosigmoid in making a preoperative diagnosis. A further caudal CT scan D shows fluid-filled ileal loops in the pelvis with thin non-enhancing walls solid arrow and free fluid present in the pelvic cavity dotted arrow.


There is medial deviation of the cecum with a pointed medial border thick arrow. Case Report Open Access. The long arrow points to the knot while the short arrows point to the medial displacement ileosigmoix the descending colon and cecum. This article has been cited by other articles in PMC. ANZ Journal of Surgery. The youngest reported patient and CT findings. Awareness of the condition is essential for prompt diagnosis and optimal management.

Ileosigmoid Knot

The patient was immediately operated. Ileosigmoid knot, also known as compound volvulus, is an unusual and a rare cause of intestinal obstruction. Our website uses cookies to enhance your experience. A CT scan was planned, but could not be carried out for technical reasons.

The distal stump can be closed and end-to-side ileocecostomy can be performed as safer option.