Author:
Mohammed Yusuf,Tesfaye Kirubel
Abstract
Abstract
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.
Publisher
Springer Science and Business Media LLC
Reference10 articles.
1. Ullah S, Khan M. Intestinal obstruction: a spectrum of causes. JPMI. 2008;8(1):210–3.
2. Abebe E, Asmare B, Addise A. Ileo-ileal knotting as an uncommon cause of acute intestinal obstruction. J Surg Case Rep. 2015;2015(8):1.
3. Schwartz SI, Brunicardi FC. Schwartz’s principles of surgery. 9th ed. New York: McGraw-Hill Medical; 2011.
4. Yilma Y. Management outcome of small intestinal obstruction in Mizan Aman General Hospital, Ethiopia. J Clin Exp Pathol. 2018;8(6):359.
5. Taniguchi K, Lida R, Watanabe T, Nitta M, Tomioka M, Uchiyama K, et al. Ileo-ileal knot: a rare case of acute strangulated intestinal obstruction. Nagoya J Med Sci. 2017;79(1):109–13.
Cited by
10 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献