The “small” wrapping around the “large”!

Rai, Santosh and Pai, Manohar and *, Adurthy Priyanka and *, Irshad Mohammed (2013) The “small” wrapping around the “large”! Saudi Surgical Journal, 1 (2). pp. 50-52. ISSN 2320-3846

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This is a case report of a 32‑year‑old female who presented with acute intestinal obstruction. The radiological diagnostic possibilty of midgut volvulus with ileo‑sigmoid knotting and obstruction of the proximal sigmoid colon and small bowel was given. The diagnosis was confirmed intra‑operatively with associated gangrene of the distal jejunum and proximal ileum. Resection of the gangrenous segments of bowel and the release of ileo‑sigmoid knotting was performed. The literature about the ileo‑sigmoid knot was reviewed. It may be difficult to diagnose this condition before surgery. This is a surgical emergency that requires urgent resection of gangrenous bowel and untwisting of the volvulus. The aim of this short communication is to increase awareness of the pre‑operative computed tomography (CT) diagnosis of this condition.

Item Type: Article
Uncontrolled Keywords: Computed tomography scan, ileo‑sigmoid knotting, intestinal obstruction, volvulus
Subjects: Medicine > KMC Mangalore > Radio Diagnosis and Imaging
Medicine > KMC Mangalore > Surgery
Depositing User: KMCMLR User
Date Deposited: 18 Jan 2014 06:44
Last Modified: 18 Jan 2014 06:44

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