[Ileosigmoid knot is an unusual and severe cause of bifocal bowel strangulation].
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.
Varoquaux
Arthur
A
Service de radiologie, CHU Conception, Marseille Cedex 5.
Ananian
Pascal
P
Richa
Hubert
H
Chagnaud
Christophe
C
Le Treut
Yves-Patrice
YP
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
D003287:Contrast Media; D001466:Barium Sulfate