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Murine Ileocolic Bowel Resection with Primary Anastomosis
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Small bowel knots.

M Y Beg1, L Bains1, P Lal1

  • 1Maulana Azad Medical College, New Delhi, India.

Annals of the Royal College of Surgeons of England
|June 16, 2020
PubMed
Summary
This summary is machine-generated.

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.

Keywords:
Ileal knotIleoileal knotIntestinal obstructionIntussusceptionSmall bowel knot

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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.