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The ileosigmoid knot.

D Puthu1, N Rajan, G M Shenoy

  • 1Department of Surgery, Kasturba Hospital, Manipal, India.

Diseases of the Colon and Rectum
|February 1, 1991
PubMed
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Ileosigmoid knot (ISK) is a rare cause of intestinal obstruction. Early diagnosis and surgical intervention are crucial for managing this condition and improving patient outcomes.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Ileosigmoid knot (ISK) is an infrequent cause of intestinal obstruction.
  • Unfamiliarity with ISK can lead to severe surgical complications.

Purpose of the Study:

  • To analyze the clinical presentation, diagnosis, and management of ileosigmoid knot.
  • To suggest guidelines for managing ISK.

Main Methods:

  • Retrospective analysis of seven ISK cases over 20 years.
  • Review of relevant medical literature.

Main Results:

  • Preoperative diagnosis was achieved in two patients.
  • Four cases involved women, two postpartum.
  • One male patient had an inflamed Meckel's diverticulum involved.

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  • Symptoms and clinical findings were nonspecific.
  • Characteristic double closed loop obstruction on X-ray seen in three patients.
  • Resection and anastomosis feasible in four patients, including primary large bowel anastomosis.
  • Two early deaths occurred.

    • Conclusions:

    • ISK requires high clinical suspicion due to nonspecific symptoms.
    • Prompt surgical intervention is essential.
    • Primary anastomosis may be considered in selected cases.