Ileoileal knotting : a rare cause of intestinal obstruction: a case report
© 2021. The Author(s)..
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.
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.
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.
Medienart: |
E-Artikel |
---|
Erscheinungsjahr: |
2021 |
---|---|
Erschienen: |
2021 |
Enthalten in: |
Zur Gesamtaufnahme - volume:15 |
---|---|
Enthalten in: |
Journal of medical case reports - 15(2021), 1 vom: 22. Juli, Seite 397 |
Sprache: |
Englisch |
---|
Beteiligte Personen: |
Mohammed, Yusuf [VerfasserIn] |
---|
Links: |
---|
Themen: |
Case Reports |
---|
Anmerkungen: |
Date Completed 23.07.2021 Date Revised 25.07.2021 published: Electronic Citation Status MEDLINE |
---|
doi: |
10.1186/s13256-021-02910-6 |
---|
funding: |
|
---|---|
Förderinstitution / Projekttitel: |
|
PPN (Katalog-ID): |
NLM328349364 |
---|
LEADER | 01000naa a22002652 4500 | ||
---|---|---|---|
001 | NLM328349364 | ||
003 | DE-627 | ||
005 | 20231225202742.0 | ||
007 | cr uuu---uuuuu | ||
008 | 231225s2021 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.1186/s13256-021-02910-6 |2 doi | |
028 | 5 | 2 | |a pubmed24n1094.xml |
035 | |a (DE-627)NLM328349364 | ||
035 | |a (NLM)34289914 | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng | ||
100 | 1 | |a Mohammed, Yusuf |e verfasserin |4 aut | |
245 | 1 | 0 | |a Ileoileal knotting |b a rare cause of intestinal obstruction: a case report |
264 | 1 | |c 2021 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ƒaComputermedien |b c |2 rdamedia | ||
338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
500 | |a Date Completed 23.07.2021 | ||
500 | |a Date Revised 25.07.2021 | ||
500 | |a published: Electronic | ||
500 | |a Citation Status MEDLINE | ||
520 | |a © 2021. The Author(s). | ||
520 | |a 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 | ||
520 | |a 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 | ||
520 | |a 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 | ||
650 | 4 | |a Case Reports | |
650 | 4 | |a Journal Article | |
650 | 4 | |a Gangrenous bowel | |
650 | 4 | |a Ileoileal knotting | |
650 | 4 | |a Small bowel obstruction | |
700 | 1 | |a Tesfaye, Kirubel |e verfasserin |4 aut | |
773 | 0 | 8 | |i Enthalten in |t Journal of medical case reports |d 2007 |g 15(2021), 1 vom: 22. Juli, Seite 397 |w (DE-627)NLM169450775 |x 1752-1947 |7 nnns |
773 | 1 | 8 | |g volume:15 |g year:2021 |g number:1 |g day:22 |g month:07 |g pages:397 |
856 | 4 | 0 | |u http://dx.doi.org/10.1186/s13256-021-02910-6 |3 Volltext |
912 | |a GBV_USEFLAG_A | ||
912 | |a GBV_NLM | ||
951 | |a AR | ||
952 | |d 15 |j 2021 |e 1 |b 22 |c 07 |h 397 |