title: [Ileosigmoid knot is an unusual and severe cause of bifocal bowel strangulation].
abstract: Ileosigmoid knot is an unusual and severe cause of bifocal bowel strangulation. Prompt surgery is necessary to prevent widespread intestinal infarction and high mortality rate. We report a clinical case and present a literature review to precise the features that should lead to prompt preoperative diagnosis. There are no clinical features specific for this diagnosis. Abdominal CT scan with contrast enema appears to be the fastest way to show the association of small bowel ischemia and sigmoid volvulus that signs ileosigmoid knotting.
authors.affiliation: Service de radiologie, CHU Conception, Marseille Cedex 5.
authors.forename: Arthur
authors.initials: A
authors.lastname: Varoquaux
authors.forename: Pascal
authors.initials: P
authors.lastname: Ananian
authors.forename: Hubert
authors.initials: H
authors.lastname: Richa
authors.forename: Christophe
authors.initials: C
authors.lastname: Chagnaud
authors.forename: Yves-Patrice
authors.initials: YP
authors.lastname: Le Treut
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D000714:Anastomosis, Surgical; D001466:Barium Sulfate; D003287:Contrast Media; D004733:Enema; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis* / Q000601:surgery; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D007422:Intestines / Q000098:blood supply / Q000473:pathology / Q000601:surgery; D007511:Ischemia / Q000209:etiology / Q000601:surgery; D008297:Male; D009336:Necrosis / Q000209:etiology / Q000601:surgery; D012810:Sigmoid Diseases / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed
chemical_list: D003287:Contrast Media; D001466:Barium Sulfate