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Damage Control Surgery for Ileosigmoid Knotting With Massive Bowel Necrosis: A Case Report
Dereje G Andargie1, Niyonkuru Ainé Ernest1, Selamawit Z Tadesse2
1Department of Surgery, University of Rwanda, College of Medicine and Health Science, Kigali, Rwanda.
Ileosigmoid knotting (ISK) is a rare, life-threatening bowel obstruction. A two-stage damage control surgery approach successfully managed a severe case with extensive gangrene and shock, improving survival outcomes.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Emergency Medicine
Background:
- Ileosigmoid knotting (ISK) is a rare, life-threatening closed-loop bowel obstruction.
- It is prevalent in volvulus-endemic regions and rapidly progresses to gangrene and high mortality.
- Prompt recognition and management are critical for patient survival.
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