1. Ileosigmoid Knotting: Clinical Profiles and Prognostic Outcomes among Patients in a Rural Medical College: A Retrospective Study
- Author
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Dhrubajyoti Maulik and Debjyoti Mandal
- Subjects
Gangrene ,medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Colostomy ,Sigmoid colon ,Bowel resection ,Anastomosis ,medicine.disease ,Surgery ,Volvulus ,Ileostomy ,medicine.anatomical_structure ,medicine ,Surgical emergency ,business - Abstract
Background: Ileosigmoid knotting (ISK) is one of the rare causes of acute intestinal obstruction. It has a rapid course for forming gangrene. In this condition, the ileum and sigmoid colon wrap around each other, causing a knot and strangulation of both structures. ISK is extremely rare in North America most cases are reported in Asia and Africa. This is a surgical emergency and an attempt to relieve the obstruction must be done promptly. The management may range from a resection and anastomosis of the ileum and Sigmoid Colon, ileostomy and Hartmann's procedure depending on patients condition and gangrenous bowel segment. Method: It is a retrospective study. Data collection was done for three years from September 2018 to August 2021 in Bankura Sammilani Medical College and Hospital in the Department of General Surgery. Result: In our study 26 patients (M: F ratio 3:1) was identified with ileosigmoid knotting. The mean age of the patients are 43 years (SD+/- 13) in the study population. It more commonly affects males (76.92%) who are in the fourth decade of life. About fifty percent patients (53.84%) presented with shock (chi square test p value
- Published
- 2021