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Double Stangulation by an Ileosigmoid Knot About an Observation and Review of the Literature

Received: 19 September 2022     Accepted: 18 October 2022     Published: 28 October 2022
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Abstract

Introduction: Occlusions by ileo-sigmoid nodes are rare etiologies of occlusions by strangulation, which can quickly engage the vital prognosis if the management is not early. Patient and observation: herein we reported case of an acute intestinal obstruction by ileo-sigmoid node observed at the regional hospital of Ndioum in the north of Senegal. A patient of 35 years old without any particular history was sent to us for the management of a syndrome of peritoneal irritation. On admission there was abdominal distension with hypogastric arch, diffuse abdominal tenderness, with abdominal meteorism. She performed a plain x-ray of the abdomen which was not diagnostically helpful. She benefited from an exploratory laparotomy during which we highlighted a double grelic and colonic strangulation by an ileo-sigmoid knot, a double grelic and colonic resection was performed and the postoperative course was simple. Conclusion: Occlusion by ileo-sigmoid node is a very rare condition, characterized by its clinico-radiological polymorphism, which also means that the diagnosis is made late. Surgical treatment remains the cornerstone of the management of this condition.

Published in Journal of Surgery (Volume 10, Issue 5)
DOI 10.11648/j.js.20221005.20
Page(s) 190-192
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Occlusion, Ileosigmoid, Surgery

References
[1] RAHIOUI F, DAOUDI A, OUAKASSE S AND ALAMI MH. Ileo-sigmoid node, a rare postpartum complication: about a case. Ileosigmoid knotting, a rare postpartum complication: About a case International Journal of advanced research 2020; 8 (06): 234-236.
[2] MAJDOUB HE, MOUSSA MB, MAROUANE B et al Intestinal obstruction on ileosigmoid node in a postpartum woman: about a case and review of the literature. Bowel obstruction on Ileosigmoidal knotting in the postpartum period: case report and literature review. International Journal of Medical 2020; 4 (8): 14-17.
[3] ATAMANALP SS, OREN D, BASOGLU M, YILDIRGAN MI et al. Ileosigmoidal knotting: outcome in 63 patients. Say Colon Rectum. 2004; 47 (6): 906-10.
[4] JAMES DIDIER, CHAIBOU MS, ADAMA. S IDÉ K, ABDOULAYE MB, ADAKAL, ADAMOU H, ISSAKA GAZOBY SIDIBE. T Intestinal Obstructions By Ileo-Sigmoid Node: Diagnostic, Therapeutic And Prognostic Aspects. European Scientific Journal 2017; 13 (33): 1857-7881.
[5] BENSARDI FZ, ELHATTABI K, FADIL A et al. The ileosigmoid knot: about 2 cases. Pan African Medical Journal. 2012; 11: 43.
[6] ALVER O, ÖREN D, TIRELI M et al. Ileosigmoid knotting in Turkey Review of 68 cases. Say Colon Rectum. 1993; 36 (12): 1139-47.
[7] AKGUN Y. Management of Ileosigmoid knotting. Br Surg. 1997; 84: 672-673.
[8] HACHIMATO T, YAMAGUCHI J, FUJIOKA H et al. Two cases of Ileosigmoid knot: the youngest reported patient and CT findings. Hepato-gastroenterology. 2004; 51: 771-773.
[9] BOUKHALIT H, ZAMANI O, JROUNDI L. A case of ileosigmoid node in a postpartum woman. Pan African Medical 2019. 32. 106. 13542.
[10] SHEPHEAD JJ. Ninety two cases of Ileosigmoid knotting in Uganda. Br J Surg. 1967; 54: 561-566.
[11] UDEZUE NO. Sigmoid volvulus in Kaduna, Nigeria. Dis colon rectum 1990; 33: 647-9.
[12] UCAR NS, YUKSEL BC, HENGIRMEN S. Did ileal knotting trigger labor or did labor cause ileal knotting? Report of a case. Surg Today. 2009; 39 (5): 440-3.
[13] TOURE AO, KA I, GNANGNON F, et al. Ileo-sigmoidal modes about 3 cases European Scientific Journal 2017; 13 (33): 1857-7881.
[14] SANI R, DIDIER JL, CHAIBOU MS et al. Chirurgical colic emergencies in adults at the national hospital of Niamey (Niger). J Afr Chir Digest 2011; 11 (1): 1162-1166.
[15] BAWA D IKENNA EC, UGWU BT Ileosigmoid knotting: a case for primary anastomosis Niger J Med 2008; 17 (1): 115-7.
[16] KOTISSO B, BEKELE A Ileo-sigmoid knotting in Addis Ababa: a three-year comprehension retrospective analysis Ethiop Med J 2006; 44 (4): 377-83.
Cite This Article
  • APA Style

    Bangoura Mohamed Saliou, Bouraoui Ridjial Hadar, Fofana Aminata, Youla Alpha Mohamed, Yattara Abdoulaye, et al. (2022). Double Stangulation by an Ileosigmoid Knot About an Observation and Review of the Literature. Journal of Surgery, 10(5), 190-192. https://doi.org/10.11648/j.js.20221005.20

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    ACS Style

    Bangoura Mohamed Saliou; Bouraoui Ridjial Hadar; Fofana Aminata; Youla Alpha Mohamed; Yattara Abdoulaye, et al. Double Stangulation by an Ileosigmoid Knot About an Observation and Review of the Literature. J. Surg. 2022, 10(5), 190-192. doi: 10.11648/j.js.20221005.20

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    AMA Style

    Bangoura Mohamed Saliou, Bouraoui Ridjial Hadar, Fofana Aminata, Youla Alpha Mohamed, Yattara Abdoulaye, et al. Double Stangulation by an Ileosigmoid Knot About an Observation and Review of the Literature. J Surg. 2022;10(5):190-192. doi: 10.11648/j.js.20221005.20

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  • @article{10.11648/j.js.20221005.20,
      author = {Bangoura Mohamed Saliou and Bouraoui Ridjial Hadar and Fofana Aminata and Youla Alpha Mohamed and Yattara Abdoulaye and Soumaoro Labile Togba and Toure Aboubacar},
      title = {Double Stangulation by an Ileosigmoid Knot About an Observation and Review of the Literature},
      journal = {Journal of Surgery},
      volume = {10},
      number = {5},
      pages = {190-192},
      doi = {10.11648/j.js.20221005.20},
      url = {https://doi.org/10.11648/j.js.20221005.20},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20221005.20},
      abstract = {Introduction: Occlusions by ileo-sigmoid nodes are rare etiologies of occlusions by strangulation, which can quickly engage the vital prognosis if the management is not early. Patient and observation: herein we reported case of an acute intestinal obstruction by ileo-sigmoid node observed at the regional hospital of Ndioum in the north of Senegal. A patient of 35 years old without any particular history was sent to us for the management of a syndrome of peritoneal irritation. On admission there was abdominal distension with hypogastric arch, diffuse abdominal tenderness, with abdominal meteorism. She performed a plain x-ray of the abdomen which was not diagnostically helpful. She benefited from an exploratory laparotomy during which we highlighted a double grelic and colonic strangulation by an ileo-sigmoid knot, a double grelic and colonic resection was performed and the postoperative course was simple. Conclusion: Occlusion by ileo-sigmoid node is a very rare condition, characterized by its clinico-radiological polymorphism, which also means that the diagnosis is made late. Surgical treatment remains the cornerstone of the management of this condition.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Double Stangulation by an Ileosigmoid Knot About an Observation and Review of the Literature
    AU  - Bangoura Mohamed Saliou
    AU  - Bouraoui Ridjial Hadar
    AU  - Fofana Aminata
    AU  - Youla Alpha Mohamed
    AU  - Yattara Abdoulaye
    AU  - Soumaoro Labile Togba
    AU  - Toure Aboubacar
    Y1  - 2022/10/28
    PY  - 2022
    N1  - https://doi.org/10.11648/j.js.20221005.20
    DO  - 10.11648/j.js.20221005.20
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 190
    EP  - 192
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20221005.20
    AB  - Introduction: Occlusions by ileo-sigmoid nodes are rare etiologies of occlusions by strangulation, which can quickly engage the vital prognosis if the management is not early. Patient and observation: herein we reported case of an acute intestinal obstruction by ileo-sigmoid node observed at the regional hospital of Ndioum in the north of Senegal. A patient of 35 years old without any particular history was sent to us for the management of a syndrome of peritoneal irritation. On admission there was abdominal distension with hypogastric arch, diffuse abdominal tenderness, with abdominal meteorism. She performed a plain x-ray of the abdomen which was not diagnostically helpful. She benefited from an exploratory laparotomy during which we highlighted a double grelic and colonic strangulation by an ileo-sigmoid knot, a double grelic and colonic resection was performed and the postoperative course was simple. Conclusion: Occlusion by ileo-sigmoid node is a very rare condition, characterized by its clinico-radiological polymorphism, which also means that the diagnosis is made late. Surgical treatment remains the cornerstone of the management of this condition.
    VL  - 10
    IS  - 5
    ER  - 

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Author Information
  • Department of General Surgery, Ignace Deen National Hospital, University Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Aristide Le Dantec Hospital, Dakar, Senegal

  • Department of General Surgery, Ignace Deen National Hospital, University Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, University Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, University Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, University Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, University Hospital of Conakry, Conakry, Guinea

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