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An unusual synchronous ileosigmoid and ileoileal knotting: a case report

INTRODUCTION: Ileosigmoid and ileoileal knotting are two rare entities. They usually present as acute abdomen and the diagnosis is established intraoperatively. The treatment is surgical and should be performed as soon as possible to decrease the incidence of perioperative mortality and morbidity. C...

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Autores principales: Andromanakos, Nikolaos, Filippou, Dimitrios, Pinis, Stamatis, Kostakis, Alkiviadis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4077116/
https://www.ncbi.nlm.nih.gov/pubmed/24942469
http://dx.doi.org/10.1186/1752-1947-8-200
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author Andromanakos, Nikolaos
Filippou, Dimitrios
Pinis, Stamatis
Kostakis, Alkiviadis
author_facet Andromanakos, Nikolaos
Filippou, Dimitrios
Pinis, Stamatis
Kostakis, Alkiviadis
author_sort Andromanakos, Nikolaos
collection PubMed
description INTRODUCTION: Ileosigmoid and ileoileal knotting are two rare entities. They usually present as acute abdomen and the diagnosis is established intraoperatively. The treatment is surgical and should be performed as soon as possible to decrease the incidence of perioperative mortality and morbidity. CASE PRESENTATION: We report an unusual case of a 26-year-old Argentine man with ischemic necrosis in parts of his small and large intestine due to combined ileosigmoid and ileoileal knotting. He had an ileal loop of ileum concurrently wrapped around the neck of a sigmoid volvulus and other loops of ileum strangulating them, forming two different tangles of tying. This very rare and unusual entity was diagnosed and managed intraoperatively during a diagnostic laparotomy performed on an emergency basis. Both the gangrenous small bowel loops and the affected sigmoid colon area were resected. The continuation of the intestinal tract was restored by primary end-to-end anastomoses. The present case is unusual and to the best of our knowledge no similar cases of simultaneous ileosigmoid and ileoileal knotting have been described in the literature. The postoperative course of our patient was uneventful and he was discharged from the hospital on the 15th postoperative day. One year later he still remains without symptoms from his intestinal tract. CONCLUSION: Simultaneous ileosigmoid and ileoileal knotting is a very rare entity that should be diagnosed and treated surgically on an emergency basis to minimize the high postoperative morbidity and mortality.
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spelling pubmed-40771162014-07-02 An unusual synchronous ileosigmoid and ileoileal knotting: a case report Andromanakos, Nikolaos Filippou, Dimitrios Pinis, Stamatis Kostakis, Alkiviadis J Med Case Rep Case Report INTRODUCTION: Ileosigmoid and ileoileal knotting are two rare entities. They usually present as acute abdomen and the diagnosis is established intraoperatively. The treatment is surgical and should be performed as soon as possible to decrease the incidence of perioperative mortality and morbidity. CASE PRESENTATION: We report an unusual case of a 26-year-old Argentine man with ischemic necrosis in parts of his small and large intestine due to combined ileosigmoid and ileoileal knotting. He had an ileal loop of ileum concurrently wrapped around the neck of a sigmoid volvulus and other loops of ileum strangulating them, forming two different tangles of tying. This very rare and unusual entity was diagnosed and managed intraoperatively during a diagnostic laparotomy performed on an emergency basis. Both the gangrenous small bowel loops and the affected sigmoid colon area were resected. The continuation of the intestinal tract was restored by primary end-to-end anastomoses. The present case is unusual and to the best of our knowledge no similar cases of simultaneous ileosigmoid and ileoileal knotting have been described in the literature. The postoperative course of our patient was uneventful and he was discharged from the hospital on the 15th postoperative day. One year later he still remains without symptoms from his intestinal tract. CONCLUSION: Simultaneous ileosigmoid and ileoileal knotting is a very rare entity that should be diagnosed and treated surgically on an emergency basis to minimize the high postoperative morbidity and mortality. BioMed Central 2014-06-18 /pmc/articles/PMC4077116/ /pubmed/24942469 http://dx.doi.org/10.1186/1752-1947-8-200 Text en Copyright © 2014 Andromanakos et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Andromanakos, Nikolaos
Filippou, Dimitrios
Pinis, Stamatis
Kostakis, Alkiviadis
An unusual synchronous ileosigmoid and ileoileal knotting: a case report
title An unusual synchronous ileosigmoid and ileoileal knotting: a case report
title_full An unusual synchronous ileosigmoid and ileoileal knotting: a case report
title_fullStr An unusual synchronous ileosigmoid and ileoileal knotting: a case report
title_full_unstemmed An unusual synchronous ileosigmoid and ileoileal knotting: a case report
title_short An unusual synchronous ileosigmoid and ileoileal knotting: a case report
title_sort unusual synchronous ileosigmoid and ileoileal knotting: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4077116/
https://www.ncbi.nlm.nih.gov/pubmed/24942469
http://dx.doi.org/10.1186/1752-1947-8-200
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