Related Experiment Video
Updated: Dec 18, 2025
08:49
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
17.0K
Small bowel knots.
Annals of the Royal College of Surgeons of England
|June 16, 2020
Summary
Ileoileal knotting is a rare cause of intestinal obstruction, often leading to gangrenous bowel. Surgical resection and anastomosis are the standard treatments for this condition.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Abdominal Surgery
Background:
- Small bowel knots are an uncommon cause of intestinal obstruction.
- Ileoileal knotting represents an extremely rare subset of these cases.
- This review synthesizes current knowledge on small bowel knots.
Purpose of the Study:
- To review existing literature on small bowel knots.
- To identify potential etiological mechanisms for knotting.
- To present a rare case of ileoileal knotting.
Main Methods:
- Systematic literature search of MEDLINE, PubMed, and Google Scholar up to December 2019.
- Inclusion of case reports detailing small bowel knots.
- Review of retrieved full-text articles and their references.
Main Results:
- 14 case reports were analyzed.
- Abdominal pain, vomiting, and distention were common presenting symptoms.
- Gangrenous bowel was present in 78% of cases, necessitating resection and anastomosis.
Conclusions:
- Ileoileal knotting is a rare but serious cause of intestinal obstruction.
- Potential contributing factors include bowel loading, mesenteric length, and peristalsis.
- Diagnosis is typically intraoperative, with surgical intervention being the definitive treatment.
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