Ileo-Ileal Knot Causing Intestinal Obstruction A Case Report

Kalaichelvan, Dr.Lokeshwari; Perumal, Dr.Srinivasan Ulagendra; Ross, Kannan; Subramanian, Dr.Balakrishnan

doi:10.9790/0853-150732629

Cited by 4 publications

(3 citation statements)

References 4 publications

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“…The need for intestinal resection in IIK does not seem to correlate with the onset time. As noted in two cases [ 12 , 14 ], only obstruction release was required even though two days had passed since the onset of symptoms. Therefore, it is speculated that the need for intestinal resection depends not on the time of symptom onset but on the degree of strangulation associated with knot formation.…”

Section: Discussionmentioning

confidence: 99%

“…There is no clear consensus on the appropriate surgical method for IIKs regarding the release of the knot before resection. Some studies recommend en bloc resection without relieving the obstruction because of the risk of necrotic material entering the systemic circulation and intestinal perforation [ 9 , 10 , 12 , 17 ]. Conversely, another set of studies suggested releasing the obstruction first to avoid excessive intestinal resection [ 14 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…Conversely, another set of studies suggested releasing the obstruction first to avoid excessive intestinal resection [ 14 , 18 ]. In two reports, surgery was carried out without intestinal resection, and benefits were noted by releasing the knot first [ 12 , 14 ]. In this case, the small bowel knot was released to minimize the length of resected.…”

Section: Discussionmentioning

confidence: 99%

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Strangulated bowel obstruction caused by an ileo-ileal knot: a rare case report

et al. 2023

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Background Intestinal knot formation is a condition wherein two segments of the intestine are knotted together; however, reports of small-intestinal ileo-ileal knot formation are rare. Case presentation The patient was a 62-year-old Asian male with a history of endoscopic colorectal adenoma resection and a spontaneous pneumothorax. The patient had no history of a laparotomy. He consulted his local doctor with the chief complaint of abdominal pain and was admitted to our hospital with suspicion of an acute abdomen. The abdomen had muscular guarding with tenderness and rebound tenderness. Contrast-enhanced computed tomography (CT) showed torsion of the mesentery of the small intestine with poor contrast filling. The patient was referred to our department with strangulated bowel obstruction and underwent an emergency laparotomy. Intraoperative findings revealed that two segments of the ileum were wrapped around each other to form a knot, and the strangulated small bowel was necrotic. After the release of the knot, partial resection of the small intestine was performed from 220 cm distal to the ligament of Treitz to 80 cm proximal to the cecum. The patient had a good postoperative course and was discharged on the 11th postoperative day. Conclusion Ileo-ileal knots should be considered as part of the differential diagnosis when treating strangulated bowel obstruction.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Strangulated bowel obstruction caused by an ileo-ileal knot: a rare case report

et al. 2023

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Ileoileal knotting as a rare cause of acute abdomen in adolescents: Case report

Tesfay¹,

Tesfaye²,

Tulicha³

et al. 2023

International Journal of Surgery Case Reports

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Ileoileal knotting: a rare cause of intestinal obstruction: a case report

Mohammed¹,

Tesfaye²

2021

J Med Case Reports

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Background Ileoileal knotting is one of the rarest causes of intestinal obstruction. The pathology involves knotting of the ileum around itself, leading to mechanical intestinal obstruction that can rapidly evolve to gangrene. Case presentation Here we will discuss the case of an 18-year-old Oromo girl who presented with sudden onset of severe abdominal pain and signs of generalized peritonitis.Ultrasound examination showed massive peritoneal and cul-de-sac fluid. Explorative laparotomy was done, with a tentative diagnosis of ruptured ovarian cyst. Intraoperative finding was a gangrenous ileoileal knot. The gangrenous segment was resected and ileotransverse anastomosis done. Postoperative course was uneventful, and the patient was discharged improved on the sixth postoperative day. Conclusion We present this case to highlight the diagnostic difficulty that one can face in females of child-bearing age and to create awareness of this rare cause of intestinal obstruction, as morbidity and mortality are very high because of rapid progression to gangrene.

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Ileo-Ileal Knot Causing Intestinal Obstruction A Case Report

Cited by 4 publications

References 4 publications

Strangulated bowel obstruction caused by an ileo-ileal knot: a rare case report

Strangulated bowel obstruction caused by an ileo-ileal knot: a rare case report

Ileoileal knotting as a rare cause of acute abdomen in adolescents: Case report

Ileoileal knotting: a rare cause of intestinal obstruction: a case report

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