A rare cause of acute intestinal obstruction: Ileo-sigmoid knotting type IIA

Mohammed A Alsuhaimi; Mohammed A Aljaysh; Hallah S Alghamdi; Majed S Alotaibi; Abdullah A Alghamdi

doi:10.1016/j.amsu.2022.104532

A rare cause of acute intestinal obstruction: Ileo-sigmoid knotting type IIA

Ann Med Surg (Lond). 2022 Sep 7:83:104532. doi: 10.1016/j.amsu.2022.104532. eCollection 2022 Nov.

Authors

Mohammed A Alsuhaimi¹, Mohammed A Aljaysh¹, Hallah S Alghamdi¹, Majed S Alotaibi¹, Abdullah A Alghamdi¹

Affiliation

¹ Department of Surgery Dammam Medical Complex, Saudi Arabia.

Abstract

Ileosigmoid Knotting is a rare cause of intestinal obstruction which occurs as a consequence of ileum or sigmoid colon wrapping around the base of each other resulting in double closed-loop bowel obstruction. We report a case of a 52-year-old male who presented in the emergency department with sudden onset of abdominal pain and vomiting. On clinical examination, the abdomen was tender and distended. A chest and abdomen x-ray showed a distended stomach and no sign of bowel obstruction. A computed tomographic scan (CT) revealed a closed-loop intestinal obstruction. We planned urgent Surgery, and the finding was an Ileosigmoid knotting typeIIA is rarely encountered in surgical practice.

Keywords: CT scan; Ileosigmoid knotting; Intestinal obstruction; Surgery.

Publication types

Case Reports