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Updated: Jul 6, 2026
08:49
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Ileosigmoid knotting--a case for primary anastomosis
1Department of Surgery, Jos University Teaching Hospital, Jos, Plateau State, Nigeria. bawos211@yahoo.com
Summary
Ileosigmoid knotting, a rare cause of intestinal obstruction, can be safely treated with surgical resection of the non-viable bowel and primary anastomosis. This approach offers a good outcome for patients presenting with this condition.
Area of Science:
- Gastroenterology
- Surgical Case Reports
- Abdominal Surgery
Background:
- Ileosigmoid knotting is a rare cause of intestinal obstruction.
- Surgical resection and primary anastomosis are established treatment options.
Observation:
- A 26-year-old male presented with prolonged fever, altered bowel habits, and signs of peritonitis.
- Preoperative diagnosis was missed; exploratory laparotomy revealed ileosigmoid knotting with non-viable bowel segments.
Findings:
- Resection of the gangrenous ileum and sigmoid colon was performed.
- Primary anastomosis was successfully achieved with a favorable postoperative recovery.
Implications:
- Primary anastomosis following bowel resection is a safe and effective surgical strategy for ileosigmoid knotting.
- Highlights the importance of considering rare diagnoses in complex abdominal presentations.
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