Back to Search
Start Over
Ileoileal knotting: a rare cause of intestinal obstruction: a case report.
- Source :
-
Journal of medical case reports [J Med Case Rep] 2021 Jul 22; Vol. 15 (1), pp. 397. Date of Electronic Publication: 2021 Jul 22. - Publication Year :
- 2021
-
Abstract
- Background: Ileoileal knotting is one of the rarest causes of intestinal obstruction. The pathology involves knotting of the ileum around itself, leading to mechanical intestinal obstruction that can rapidly evolve to gangrene.<br />Case Presentation: Here we will discuss the case of an 18-year-old Oromo girl who presented with sudden onset of severe abdominal pain and signs of generalized peritonitis.Ultrasound examination showed massive peritoneal and cul-de-sac fluid. Explorative laparotomy was done, with a tentative diagnosis of ruptured ovarian cyst. Intraoperative finding was a gangrenous ileoileal knot. The gangrenous segment was resected and ileotransverse anastomosis done. Postoperative course was uneventful, and the patient was discharged improved on the sixth postoperative day.<br />Conclusion: We present this case to highlight the diagnostic difficulty that one can face in females of child-bearing age and to create awareness of this rare cause of intestinal obstruction, as morbidity and mortality are very high because of rapid progression to gangrene.<br /> (© 2021. The Author(s).)
Details
- Language :
- English
- ISSN :
- 1752-1947
- Volume :
- 15
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of medical case reports
- Publication Type :
- Academic Journal
- Accession number :
- 34289914
- Full Text :
- https://doi.org/10.1186/s13256-021-02910-6