Un cas de nœud iléo-sigmoïdien chez une femme en post-partum

Boukhalit, Hind; Zamani, Ouijdane; Jroundi, Laila

doi:10.11604/pamj.2019.32.106.13542

Cited by 3 publications

(3 citation statements)

References 10 publications

(17 reference statements)

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“…It mainly affects men in the fourth decade. It occurs in the majority of cases when a slender loop descends into the left paracolic gutter and rotates around the base of the sigmoid colon clockwise or counterclockwise and forms a knot [2]. Our patient was a fourth decade male.…”

Section: Discussionmentioning

confidence: 82%

“…The ileosigmoid node or double ileosigmoid volvulus, is a rare surgical emergency which represents 7.6% of all sigmoid volvulus in France [2]. It mainly affects men in the fourth decade.…”

Section: Discussionmentioning

confidence: 99%

“…The management is surgical and must be adapted and rapid, it is based on resection-anastomosis or colostomy if the intestinal segments are necrotic, detorsion and sigmoidopexy is recommended in the rare cases where there is no necrosis [9]. Four (4) types of NIS formation mechanisms are described in the literature, according to the active digestive segment responsible for torsion [2]., In type I the ileum is the active segment wrapping around the passive sigmoid, type II results from active sigmoid torsion which attracts passive small bowel, in exceptional type III it is the ileocecal junction which wraps around the sigmoid loop, while in indeterminate type IV it is not possible to differentiate the two segments. The management was surgical in our case and we found intraoperatively a volvulus of the ileal loop around the sigmoid in the form of a node as described in type I, with ileal and sigmoid necrosis.…”

Section: Discussionmentioning

confidence: 99%

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Ileosigmoidian knot about an observation at the Donka CHU National Hospital in Conakry

Korse¹,

Lansana²,

Naby³

et al. 2021

GSC Adv. Res. Rev.

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Introduction: The ileosigmoid node is a double volvulus involving the sigmoid and the small intestine. The preoperative diagnosis is difficult in our practice setting. We report a case of ileosigmoid node that we discuss with data from the literature. Observation: This was a 40-year-old man admitted for diffuse abdominal pain of progressive onset, paroxysmal, accompanied by cessation of materials and gas, profuse vomiting of food and hiccups, progressing for 24 hours. With a history of persistent constipation and episodes of sub-occlusion, clinical examination noted pain, abdominal distension and dullness of the flanks and inaudible peristalsis. The digital rectal examination noted an emptiness of the rectal bulb and a bulging of the Douglas. The biological assessment was unremarkable. The ASP showed an arched image. Confirmation was intraoperative with a small bowel volvulus around the sigmoid in the form of a node producing double ileal and sigmoid necrosis. We performed an ileo-ileal anastomosis resection and a left iliac colostomy using the Hartman technique. The postoperative follow-up was simple, the patient was discharged on D10 postoperative. Six weeks later the patient was readmitted for restoration of colonic continuity. Five months later, no complaints were reported. Conclusion: The ileo-sigmoid node is a rare cause of intestinal obstruction, difficult to diagnose preoperatively in our exercise setting, the progression is rapid towards digestive necrosis. The availability of emergency CT examinations and early management of this condition would improve the prognosis.

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Section: Discussionmentioning

confidence: 82%

“…The ileosigmoid node or double ileosigmoid volvulus, is a rare surgical emergency which represents 7.6% of all sigmoid volvulus in France [2]. It mainly affects men in the fourth decade.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Ileosigmoidian knot about an observation at the Donka CHU National Hospital in Conakry

Korse¹,

Lansana²,

Naby³

et al. 2021

GSC Adv. Res. Rev.

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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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Ileo-Sigmoidian Node: About A Case in the Visceral Surgery Department of the Donka National Hospital

Madiou¹,

Korse²,

Naby³

et al. 2021

GSC Adv. Res. Rev.

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The aim of this study was to report a clinical case of ileocaecal node in the visceral surgery department of Donka. The ileosigmoid node or the ileosigmoid knot (ISK), is an exceptional clinical entity, it is a surgical emergency characterized by strangulation of the small intestine forming a knot around the base of the sigmoid colon with risk of rapid necrosis of the small intestine. And the colon. The preoperative diagnosis of this condition is difficult because of its rarity and atypical radiographic results. We report a case of an ileosigmoid node discovered in a 62-year-old subject who consulted in our department for an occlusive syndrome.

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Un cas de nœud iléo-sigmoïdien chez une femme en post-partum

Abstract: Le nœud iléo-sigmoïdien est une cause rare d'occlusion intestinale. Nous rapportons un cas de nœud iléo-sigmoïdien survenu chez une femme en post-partum. Le diagnostic a été évoqué sur les données du scanner et confirmé en peropératoire.

Cited by 3 publications

References 10 publications

Ileosigmoidian knot about an observation at the Donka CHU National Hospital in Conakry

Ileosigmoidian knot about an observation at the Donka CHU National Hospital in Conakry

Factors triggering knot formation in ileosigmoid knotting

Ileo-Sigmoidian Node: About A Case in the Visceral Surgery Department of the Donka National Hospital

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