Ileosigmoid knotting in early pregnancy: A case report. (2016)

• Record Type: Journal Article
• Authors: Maunganidze, Aspect Jacob Vengani; Mungazi, Simbarashe Gift; Siamuchembu, Maphios; Mlotshwa, Makhosini
• Is Part Of: International journal of surgery case reports. Volume 23(2016)
• Page Start: 20
• Page End: 22
• Publication Date: 2016
• Subjects: Ileosigmoid knotting -- Intestinal obstruction -- Intestinal obstruction in pregnancy -- Hartmann's procedure -- Acute abdomen; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2016.03.022
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: Ileosigmoid knotting is a very rare cause of intestinal obstruction in pregnancy. A long small bowel mesentery and long sigmoid colon predisposes to Ileosigmoid knotting. Normal pregnancy symptoms may obscure clinical presentation. Treatment is emergency laparotomy, small bowel resection and Hartmann's procedure. Abstract: Ileosigmoid knotting refers to the wrapping of the ileum around the base of the sigmoid colon, or vice versa thus forming a knot. It is a rare cause of intestinal obstruction, more so in pregnancy. We herein report a case of a primigravid woman who presented with an acute abdomen at 13weeks of gestation. The patient underwent emergency surgery. Laparotomy showed ileosigmoid knotting with gangrenous loops of both small bowel and sigmoid colon. The gangrenous bowel was resected. Primary anastomosis of small bowel and a Hartman's procedure was performed.