title: Appendico-ileal knotting mimicking adhesive bowel disease.
abstract: Appendico-ileal knotting is a very rare and widely unknown cause of closed loop bowel obstruction. In most cases it is discovered incidentally during surgery. We report a 59 year old female with a previous history of a total abdominal hysterectomy who presented with features of intestinal obstruction and was thought to suffer from postoperative adhesions. At laparotomy, appendico-ileal knotting was found; after appendectomy, she made a full recovery. Appendico-ileal knotting should be known as a possible differential diagnosis when managing patients with features of intestinal obstruction and symptoms or signs of appendicitis.
authors.affiliation: Makerere University College of Health Sciences, Kampala, Uganda.
authors.forename: M
authors.initials: M
authors.lastname: Okello
authors.affiliation: Uganda Martyrs Hospital Lubaga, Kampala, Uganda.
authors.forename: B
authors.initials: B
authors.lastname: Kharono
authors.affiliation: Makerere University College of Health Sciences, Kampala, Uganda.
authors.forename: E
authors.initials: E
authors.lastname: Mwaka
authors.affiliation: Albertinen Krankenhaus, Hamburg, Germany.
authors.forename: G
authors.initials: G
authors.lastname: Lock
mesh_terms: D001065:Appendix / Q000002:abnormalities*; D003937:Diagnosis, Differential; D005189:False Positive Reactions; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis* / Q000209:etiology*; D007415:Intestinal Obstruction / Q000175:diagnosis* / Q000209:etiology; D008875:Middle Aged; D000267:Tissue Adhesions / Q000150:complications / Q000000981:diagnostic imaging; D014102:Torsion Abnormality / Q000150:complications / Q000175:diagnosis*