Review of Management of Ileosigmoid Knotting

Download Citation in txt Download Citation in bib Download Citation in ris

Author Info

Seke Manase Ephraim Kazuma Bright Chirengendure Luyando Simunyama Kamwi Mundia Royd Ngoma Anadi Bulaya

Corresponding Author

Seke Manase Ephraim Kazuma
Consultant Gastrointestinal and Hepatobiliari-Pancreatic Surgical Oncologist, Head of Department of Surgery, Ndola Teaching Hospital, Ndola, Zambia

A B S T R A C T

Ileosigmoid knotting (ISK) is a rare type of intestinal obstruction caused by knotting of the mesentery of the ileum or sigmoid colon that rapidly progresses to gangrene with a high risk of mortality and high morbidity. The incidence of ISK is not well established, but it is higher in regions with high rates of sigmoid volvulus and in countries along the sigmoid belt. Clinical presentation is that of both small-bowel and large bowel obstruction and includes vomiting and nausea, abdominal pain, tenderness, and distention, with constipation. A contrast-enhanced computer tomography (CT) scan is the preferred modality for imaging. Management involves hemodynamic stabilisation with correction of shock using aggressive fluid resuscitation, electrolyte balance and commencement of antibiotics. Principles of surgery include resection of the knot, resection of the gangrenous bowel and establishing intestinal continuity. The outcome is generally complicated by peritonitis and sepsis that lead to mortality.

Article Info

Article Type

Review Article

Publication history

Received: Wed 02, Jun 2021
Accepted: Wed 16, Jun 2021
Published: Wed 30, Jun 2021

Copyright

© 2023 Seke Manase Ephraim Kazuma. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.IJSCR.2021.01.02