Ileosigmoid knotting: One of the largest single-center series


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ATAMANALP S. S.

PAKISTAN JOURNAL OF MEDICAL SCIENCES, cilt.34, sa.3, ss.761-763, 2018 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 34 Sayı: 3
  • Basım Tarihi: 2018
  • Doi Numarası: 10.12669/pjms.343.14893
  • Dergi Adı: PAKISTAN JOURNAL OF MEDICAL SCIENCES
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.761-763
  • Anahtar Kelimeler: Ileum, Intestinal Obstruction, Knotting, Series, Sigmoid Colon, VOLVULUS, EXPERIENCE
  • Atatürk Üniversitesi Adresli: Evet

Özet

Ileosigmoid knotting (ISK) is the wrapping of the ileum or sigmoid colon around the base of the other structure, causing a double-loop intestinal obstruction. The disease generally presents as an intestinal obstruction with volvulus triad, including abdominal pain/tenderness, distention, and obstipation. Abdominal X-ray findings are not pathognomonic, and computerized tomography (CT) and magnetic resonance imaging (MRI) are more useful in the diagnosis. A patient with ISK generally requires an emergency laparotomy following resuscitation. Based on the viability of the ileum and sigmoid colon, different resectional or non-resectional surgical techniques may be used. In this report, one of the largest single-center ISK series in the world, an eighty-case series, is concisely presented.