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A case of ileosigmoid knotting in a child
Yasuhiro Ohtsuka1, Masatoshi Iino, Shinichi Okazumi
1Department of Pediatric Surgery and Surgery, Numazu Municipal Hospital, Shizuoka, Japan.
Insights
Ileosigmoid knotting, a rare cause of bowel obstruction, involves the small intestine strangulating and knotting around the large intestine. This report details the fourth pediatric case globally and the first in Japan.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Surgical Case Reports
Background:
- Ileosigmoid knotting is a rare cause of intestinal obstruction characterized by a loop of ileum encircling and knotting around the sigmoid colon.
- While prevalent in certain African regions and predominantly affecting adults, it is exceptionally uncommon in developed nations, particularly among pediatric populations.
Observation:
- This report presents the fourth documented pediatric case of ileosigmoid knotting worldwide.
- The case involves a 6-year-old boy, marking the first instance of this condition reported in Japan.
Findings:
- The study details a rare pediatric case of ileosigmoid knotting, a condition leading to strangulated ileus.
- This finding highlights the geographical rarity and pediatric infrequency of this specific type of bowel obstruction.
Implications:
- This case expands the understanding of ileosigmoid knotting in pediatric patients outside of endemic areas.
- It underscores the importance of considering rare causes of intestinal obstruction in children, even in regions where the condition is not typically observed.
- The report serves as a crucial reference for clinicians in Japan and other developed countries when diagnosing and managing similar rare surgical emergencies.
Abstract:
Ileosigmoid knotting is an unusual condition producing a strangulated ileus in which a loop of the ileum encircles the loop of the sigmoid colon and then knots on itself. It is relatively common in many parts of Africa and tends to occur in adults; however, it is rare in developed countries, especially in children. Only 3 previous cases have been reported in children, and the authors report the fourth in a 6-year-old boy, which is the first case reported in Japan.