Did ileal knotting trigger labor or did labor cause ileal knotting? Report of a case

Uçar, Nilay Sefa; Yüksel, Bülent Cavit; Hengirmen, Süleyman

doi:10.1007/s00595-008-3850-3

Cited by 10 publications

(3 citation statements)

References 7 publications

(10 reference statements)

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“…Interestingly, Alver et al 1 reported a just-married woman, in whom the symptoms of ISK commenced abruptly during the first coitus, which may be connected with the relationship between abnormal body motions and ISK. On the other hand, Ucar et al 11 presented a case, in whom ISK developed following a spontaneous vaginal delivery, and they suggested a cause and effect relation between labour pain and ISK, which might be thought as a kind of abnormal body motions. Similarly, Boukhalit et al 12 reported a case, in whom, ISK was developed just following a delivery and Abebe et al 13 presented another ISK case, who was admitted in hospital 11 hours later a delivery, and they supported the present hypothesis.…”

Section: Discussionmentioning

confidence: 99%

Factors triggering knot formation in ileosigmoid knotting

Korkut

Atamanalp

2022

Pak J Med Sci

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Objectives: Ileosigmoid knotting (ISK) is a rare double-loop ileus form. Therefore, its physiopathology including the triggering factors, are not well investigated. We aimed to discuss the physiopathology, particularly the triggering factors in ISK. Methods: The data of 80 patients with ISK were analyzed retrospectively until June 1986 and prospectively thereafter. As control group, the data of 80 patients with bowel obstruction arising from adhesive ileus or strangulated inguinal hernia were evaluated prospectively during the last 24 months. As probable triggering factors in ISK, the role of acute diarrhea, body motions, overeating, coughing, and labor were investigated. Results: Prior to the main clinical features of ISK, acute diarrhea (17 patients, 21.3%, p<0.05), harvesting (9 patients, 11.3%, p<0.05), and overeating (8 patients, 10.0%, p<0.05) were found effective. Conclusion: Although there is not enough data on this subject in the literature, increased bowel motility, excessive body motions, and overeating appear as the triggering factors in the forming of ISK. doi: https://doi.org/10.12669/pjms.38.6.6133 How to cite this:Korkut E, Atamanalp SS. Factors triggering knot formation in ileosigmoid knotting. Pak J Med Sci. 2022;38(6):---------. doi: https://doi.org/10.12669/pjms.38.6.6133 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 99%

Factors triggering knot formation in ileosigmoid knotting

Korkut

Atamanalp

2022

Pak J Med Sci

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“…In our series, 35 patients, (8.4%) had a harvesting activation. Although the relationship between the body motions and SV is not clearly identified in the literature,[ 2 ] some excessive body movements, including harvesting,[ 20 ] first coitus,[ 21 ] and delivery[ 22 ] are reported to be effective in the development of ileosigmoid knotting, which is a complex form of SV. [ 23 ] In our opinion, harvesting and similar cases may initiate SV by forcing the sigmoid colon to rotate around itself.…”

Section: Discussionmentioning

confidence: 99%

Factors precipitating volvulus formation in sigmoid volvulus

Dişçi¹

2020

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Sigmoid volvulus (SV), the wrapping of the sigmoid colon around itself, is a rare intestinal obstruction form worldwide. For this reason, the physiopathology of SV, particularly the precipitating factors, are not clearly identified. The aim of this study is to evaluate the precipitating factors in SV. METHODS: The clinical records of consecutive 416 patients with SV were reviewed prospectively from January 1986 to July 2020. As a control, the records of consecutive 100 patients with non-volvulus intestinal obstruction were reviewed prospectively in the past 24 months. The premorbid symptoms including acute diarrhea, sudden and excessive body motions, overeating after a prolonged starvation, coughing spell, and labor was evaluated. RESULTS: Among the premorbid symptoms, 1–5-day interval of diarrhea (42 patients, 10.1%, p<0.05), harvesting activation (35 patients, 8.4%, p<0.05), and overeating after Ramadan fasting (31 patients, 7.5%, p<0.05) were found to be statistically significant precipitating factors in SV. CONCLUSION: Although there are few studies about the precipitating factors of SV in the literature, increased bowel motility, excessive body motions, and overeating following a prolonged starvation look like the precipitating factors in the development of SV.

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“…The management of these clinical entities requires a multidisciplinary approach and the prognoses are still relatively poor with 6%-15% of maternal and 20-30% of fetal mortality in addition to 20%-50% of morbidity in SV, whereas 15%-25% of maternal and 30%-50% of fetal mortality, additionally, 40%-60% of morbidity in ISK. 2 , 10 , 11 , 21 , 23 , 40 - 42 , 53 , 57 , 60, 74 …”

Section: Special Conditionsmentioning

confidence: 99%

Sigmoid Volvulus and Ileosigmoid Knotting: An Update

Atamanalp¹,

Peksöz²,

Dişçi³

2023

Eurasian J Med

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Sigmoid volvulus and ileosigmoid knotting are uncommon intestinal obstructions, which generally affect adult males. The etiology is multifactorial. Volvulus triad including abdominal pain/tenderness, distention, and obstipation/constipation is the common clinical presentation. Although x-ray radiography helps with diagnosis, the current diagnostic procedure is computed tomography or magnetic resonance imaging in addition to flexible endoscopy in sigmoid volvulus. Endoscopic decompression is the primary treatment except for the presence of bowel gangrene and peritonitis in sigmoid volvulus, while such conditions and also ileosigmoid knotting require emergency surgery. The prognosis is relatively poor under these adverse circumstances and in ileosigmoid knotting.

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Did ileal knotting trigger labor or did labor cause ileal knotting? Report of a case

Cited by 10 publications

References 7 publications

Factors triggering knot formation in ileosigmoid knotting

Factors triggering knot formation in ileosigmoid knotting

Factors precipitating volvulus formation in sigmoid volvulus

Sigmoid Volvulus and Ileosigmoid Knotting: An Update

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