Ileosigmoidal knotting, an unusual form of acute intestinal obstruction

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dc.contributor.authorCakir, Murat
dc.contributor.authorTekin, Ahmet
dc.contributor.authorKucukkartallar, Tevfik
dc.contributor.authorKartal, Adil
dc.date.accessioned2024-02-23T10:21:28Z
dc.date.available2024-02-23T10:21:28Z
dc.date.issued2015
dc.departmentNEÜen_US
dc.description.abstractAimIleosigmoidal knotting is an unusual form of acute intestinal obstruction characterized by closed-loop obstruction of both ileum and sigmoid colon. We present 36 cases of ileosigmoidal knotting. MethodsA retrospective analysis was designed to examine preoperative, operative, and postoperative findings of the 36 patients with ileosigmoidal knotting who were surgically treated in Necmettin Erbakan University's Meram Medical Faculty (Konya, Turkey) throughout a 26-year period. ResultsThe mean age was 55 (range, 47-61) years. The most common symptoms were abdominal pain, distention, obstipation, and vomiting, and the most common signs were abdominal tenderness and distention. The preoperative diagnosis was acute obstructed bowel in all patients. After resuscitation, all patients underwent emergency laparotomy. The most common type of ileosigmoidal knotting was type IA, in which the active ileum encircled the passive sigmoid in a clockwise manner. There was gangrene in both ileum and sigmoid colon in all patients. All ischemic bowels including ileum and sigmoid colon were resected and the continuity was carried out using primary anastomosis or Hartmann's procedure. ConclusionsIleosigmoidal knotting is a rare disease but its preoperative diagnosis is difficult. In cases of knotting there is no form of conservative treatment. Resective surgery is absolutely necessary.en_US
dc.identifier.doi10.1002/ams2.108
dc.identifier.endpage236en_US
dc.identifier.issn2052-8817
dc.identifier.issue4en_US
dc.identifier.pmid29123729en_US
dc.identifier.startpage234en_US
dc.identifier.urihttps://doi.org/10.1002/ams2.108
dc.identifier.urihttps://hdl.handle.net/20.500.12452/10522
dc.identifier.volume2en_US
dc.identifier.wosWOS:000363447700002en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofAcute Medicine & Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectIleosigmoidal Knottingen_US
dc.subjectIntestineen_US
dc.subjectObstructionen_US
dc.subjectSurgeryen_US
dc.titleIleosigmoidal knotting, an unusual form of acute intestinal obstructionen_US
dc.typeArticleen_US

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