Ileosigmoid knot – A Surgeon’s Nightmare Keywords: Ileosigmoid knot, Gangrenous sigmoid colon and ileum, Hartmann’s procedure
نویسنده
چکیده
Ileosigmoid knot, also known as compound volvulus, is an unusual and a rare cause of intestinal obstruction. We are reporting a case of ileosigmoid knot in a 30-year-old male, who presented with lower abdominal pain. On examination, there was tenderness in the suprapubic area and later, the patient developed features of peritonitis. Exploratory laparotomy revealed a large volume of haemorrhagic fluid with gangrenous sigmoid colon, distended and gangrenous ileum twisted round the base of the sigmoid loop. Gangrenous portion of the ileum and sigmoid colon was resected and end to end anastomosis with Hartmann’s procedure was done. [table/Fig-1]: Showing twisting ileum at the base of mesentery of sigmoid colon( shown by black arrow) [table/Fig-2]: Showing resected part of ileum www.jcdr.net Sujit Chakma et al., Ileosigmoid knot – A Surgeon’s Nightmare Journal of Clinical and Diagnostic Research. 2013 Dec, Vol-7(12): 2986-2987 2987
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