Cargando…

Ileosigmoid knot: A case report

The ileosigmoid knot is an uncommon but life-threatening cause of closed loop intestinal obstruction. Its treatment is different from a simple volvulus in that it has to be operated upon immediately. Preoperative CT scan diagnosis and prompt treatment can lead to a good outcome. Findings of simultan...

Descripción completa

Detalles Bibliográficos
Autores principales: Baheti, Akshay D, Patel, Darshana, Hira, Priya, Babu, Donald
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3137853/
https://www.ncbi.nlm.nih.gov/pubmed/21799599
http://dx.doi.org/10.4103/0971-3026.82301
_version_ 1782208332133564416
author Baheti, Akshay D
Patel, Darshana
Hira, Priya
Babu, Donald
author_facet Baheti, Akshay D
Patel, Darshana
Hira, Priya
Babu, Donald
author_sort Baheti, Akshay D
collection PubMed
description The ileosigmoid knot is an uncommon but life-threatening cause of closed loop intestinal obstruction. Its treatment is different from a simple volvulus in that it has to be operated upon immediately. Preoperative CT scan diagnosis and prompt treatment can lead to a good outcome. Findings of simultaneous ileal and sigmoid ischemia with non-ischemic colon interposed in between should, in an appropriate clinical setting, indicate this condition. The presence of the whirl sign, medially deviated distal descending colon and cecum, and mesenteric vascular structures from the superior mesenteric vessels that converge toward the sigmoid colon on CT scan help clinch the diagnosis.
format Online
Article
Text
id pubmed-3137853
institution National Center for Biotechnology Information
language English
publishDate 2011
publisher Medknow Publications
record_format MEDLINE/PubMed
spelling pubmed-31378532011-07-28 Ileosigmoid knot: A case report Baheti, Akshay D Patel, Darshana Hira, Priya Babu, Donald Indian J Radiol Imaging Abdominal and Pelvic Radiology The ileosigmoid knot is an uncommon but life-threatening cause of closed loop intestinal obstruction. Its treatment is different from a simple volvulus in that it has to be operated upon immediately. Preoperative CT scan diagnosis and prompt treatment can lead to a good outcome. Findings of simultaneous ileal and sigmoid ischemia with non-ischemic colon interposed in between should, in an appropriate clinical setting, indicate this condition. The presence of the whirl sign, medially deviated distal descending colon and cecum, and mesenteric vascular structures from the superior mesenteric vessels that converge toward the sigmoid colon on CT scan help clinch the diagnosis. Medknow Publications 2011 /pmc/articles/PMC3137853/ /pubmed/21799599 http://dx.doi.org/10.4103/0971-3026.82301 Text en Copyright: © Indian Journal of Radiology and Imaging http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abdominal and Pelvic Radiology
Baheti, Akshay D
Patel, Darshana
Hira, Priya
Babu, Donald
Ileosigmoid knot: A case report
title Ileosigmoid knot: A case report
title_full Ileosigmoid knot: A case report
title_fullStr Ileosigmoid knot: A case report
title_full_unstemmed Ileosigmoid knot: A case report
title_short Ileosigmoid knot: A case report
title_sort ileosigmoid knot: a case report
topic Abdominal and Pelvic Radiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3137853/
https://www.ncbi.nlm.nih.gov/pubmed/21799599
http://dx.doi.org/10.4103/0971-3026.82301
work_keys_str_mv AT bahetiakshayd ileosigmoidknotacasereport
AT pateldarshana ileosigmoidknotacasereport
AT hirapriya ileosigmoidknotacasereport
AT babudonald ileosigmoidknotacasereport