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A unique surgical emergency: ileosigmoid knotting
Kevin Bain1, Andrew Lelchuk2, Michael Nicoara1
1NYU Langone Hospital, Brooklyn, NY, USA.
AME Case Reports
|September 29, 2018
Summary
Ileosigmoid knot (ISK) is a rare cause of bowel obstruction where the ileum and sigmoid colon twist together. This case report details an unusual presentation of ISK in a 14-year-old male, highlighting its rarity in younger populations.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Pediatric Surgery
Background:
- Ileosigmoid knot (ISK) is a rare condition causing bowel obstruction and potential necrosis.
- Most reported cases of ISK occur in adults and are prevalent in Asia and Africa.
- ISK involves the ileum and sigmoid colon twisting around each other, leading to strangulation.
Observation:
- This report presents an extremely rare case of ISK in a 14-year-old male.
- The patient's young age is highly atypical for this condition.
- ISK is characterized by the ileum and sigmoid colon forming a knot, causing obstruction.
Findings:
- The case highlights a significant deviation from the typical demographic profile of ISK.
- This presentation underscores the importance of considering rare causes of bowel obstruction in pediatric patients.
- The anatomical configuration of the ileosigmoid knot was confirmed.
Implications:
- This case expands the known spectrum of ISK presentation.
- It emphasizes the need for heightened clinical suspicion for ISK in younger patients presenting with bowel obstruction symptoms.
- Further research may be warranted to understand potential unique pediatric risk factors or presentations of ISK.
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