Ileo-sigmoid knotting: a clinical study of 11 cases.
Ileo-sigmoid knotting is an uncommon lesion that has a high mortality (27.3% in this study). This is due to the rapidly deteriorating systemic disturbances that can follow gangrene involving both the ileal and sigmoid loops (63.6% of cases had gangrene of both loops in this series). Isolated gangrene of the sigmoid colon is uncommon. The recommended treatment consists of resection and anastomosis of the small bowel, and a Mikulicz type exteriorisation of the gangrenous sigmoid. However, Hartmann's procedure is recommended when gangrene has extended down to the upper rectum.
D000328:Adult; D000368:Aged; D005260:Female; D005734:Gangrene; D006801:Humans; D007077:Ileal Diseases / Q000473:pathology* / Q000601:surgery; D007415:Intestinal Obstruction / Q000473:pathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012810:Sigmoid Diseases / Q000473:pathology* / Q000601:surgery