Ileosigmoid knotting in early pregnancy: A case report

Ileosigmoid knotting refers to the wrapping of the ileum around the base of the sigmoid colon, or vice versa thus forming a knot. It is a rare cause of intestinal obstruction, more so in pregnancy. We herein report a case of a primigravid woman who presented with an acute abdomen at 13weeks of gesta...

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Detalles Bibliográficos
Autores principales: Maunganidze, Aspect Jacob Vengani, Mungazi, Simbarashe Gift, Siamuchembu, Maphios, Mlotshwa, Makhosini
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4855787/
https://www.ncbi.nlm.nih.gov/pubmed/27082994
http://dx.doi.org/10.1016/j.ijscr.2016.03.022
Descripción
Sumario:Ileosigmoid knotting refers to the wrapping of the ileum around the base of the sigmoid colon, or vice versa thus forming a knot. It is a rare cause of intestinal obstruction, more so in pregnancy. We herein report a case of a primigravid woman who presented with an acute abdomen at 13weeks of gestation. The patient underwent emergency surgery. Laparotomy showed ileosigmoid knotting with gangrenous loops of both small bowel and sigmoid colon. The gangrenous bowel was resected. Primary anastomosis of small bowel and a Hartman’s procedure was performed.

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