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Intestinal knotting: A case report and brief literature review
M Sohail1, T Alyson2, S K Sim3
1Universiti Malaysia Sarawak, Faculty of Medicine and Health Sciences, Kota Samarahan, Sarawak, Malaysia. msohail@unimas.my.
Insights
Ileo-ileal knotting, a rare cause of intestinal obstruction, occurs when one bowel loop knots around another. Early diagnosis and surgical intervention are crucial for preventing serious complications like bowel gangrene.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Ileo-ileal knotting is an uncommon cause of intestinal obstruction.
- It involves one segment of the small intestine forming a knot with an adjacent segment.
Observation:
- A case of a young female patient presenting with ileo-ileal knotting is described.
- The condition led to a closed-loop obstruction and subsequent small bowel loop gangrene.
Findings:
- Diagnosis of ileo-ileal knotting can be challenging.
- Prompt surgical intervention is critical for managing this condition.
Implications:
- Early recognition and surgical treatment are vital to minimize patient morbidity and mortality.
- Highlights the importance of considering rare causes of intestinal obstruction in clinical practice.
Abstract:
Ileo-ileal knotting is a rare cause of intestinal obstruction. In this condition, one bowel loop makes a knot with an adjacent bowel loop, resulting in mechanical obstruction and even gangrene of the bowel. We present a case of a young girl with ileo-ileal knotting resulting in a closed-loop obstruction and gangrene of the small bowel loop. This is a difficult condition to diagnose; a high index of suspicion and early surgical intervention are essential to reduce morbidity and mortality.
