Ileo-ileal knot causing acute gangrenous small bowel obstruction: a case report.

Publisher: BioMed Central Country of Publication: England NLM ID: 101293382 Publication Model: Electronic Cited Medium: Internet ISSN: 1752-1947 (Electronic) Linking ISSN: 17521947 NLM ISO Abbreviation: J Med Case Rep Subsets: MEDLINE

Original Publication: [London] : BioMed Central, [2007-

Ileal Diseases*/complications ; Ileal Diseases*/diagnosis ; Intestinal Obstruction*/diagnostic imaging ; Intestinal Obstruction*/etiology ; Intestinal Obstruction*/surgery; Humans ; Female ; Adult ; Acute Disease ; Hospitalization ; Length of Stay ; Gangrene/surgery ; Gangrene/complications

Background: Ileo-ileal knotting is a very rare cause of small bowel obstruction, and only a few reports have been published. Small bowel obstruction (SBO) is one of the most common emergency surgical conditions that require urgent evaluation and treatment and is one of the leading causes of emergency surgical admission. There are many causes of SBO that are known in general surgical practice, and these causes are different in the developing and developed worlds.
Clinical Presentation: In this article, we present a case of acute gangrenous SBO secondary to ileo-ileal knotting in a 37-year-old Ethiopian female patient after she presented with severe abdominal cramp, vomiting, and abdominal distension of 4 hours duration. The patient was operated on intraoperatively; she had gangrenous small bowel obstruction caused by ileo-ileal knotting. Later, the patient was discharged and improved after 12 days of hospital stay.
Conclusion: Ileo-ileal knotting should always be considered in the differential diagnosis of acute small-bowel obstruction. The diagnostic difficulty and the need for urgent treatment of this condition to yield optimal results are discussed.
(© 2024. The Author(s).)

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Keywords: Case report; Emergency; Ileo-ileal knotting; Intestinal obstruction

Date Created: 20240222 Date Completed: 20240226 Latest Revision: 20240226

20240226

PMC10885608

10.1186/s13256-024-04404-7

38388472