Pediatric Ileosigmoid Knotting: A Rare Culprit of Acute Abdominal Pain.
| Autor: | Ba-Shammakh SA; Department of General Surgery, Princess Basma Teaching Hospital, Irbid, JOR.; Department of General Surgery, The Islamic Hospital, Amman, JOR., Rabai NA; Department of General Surgery, Princess Basma Teaching Hospital, Irbid, JOR., Haj-Freej HM; Department of Pediatrics, Princess Rahma Hospital, Irbid, JOR., Ghanem WH; Department of Pediatrics, Princess Rahma Hospital, Irbid, JOR., Wahsheh MN; Department of Pediatrics, Princess Rahma Hospital, Irbid, JOR. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Jul 31; Vol. 15 (7), pp. e42749. Date of Electronic Publication: 2023 Jul 31 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.42749 |
| Abstrakt: | The present study focuses on ileosigmoid knotting (ISK), an infrequent but potentially lethal surgical emergency. ISK is more frequently observed in males and is prevalent in regions with high rates of sigmoid volvulus. The current medical scenario revolves around the intricate intertwining of the ileum and sigmoid colon, leading to a complicated volvulus. This condition often results in acute intestinal obstruction, which can subsequently cause bowel necrosis. The clinical presentation of the condition is characterized by symptoms such as abdominal distention, pain, vomiting, and obstipation, which can be misleading as they are similar to other common abdominal conditions. A delay in definitive diagnosis and intervention is likely, which can lead to severe consequences such as peritonitis, bowel necrosis, sepsis, and even septic shock. Our case report discusses an instance of ISK presenting as an acute abdomen requiring an emergency laparotomy and detorsion of the volvulus-knotted segment, followed by an elective sigmoidectomy. The significance of a heightened level of suspicion, prompt decision-making, and timely surgical intervention in achieving better patient outcomes cannot be overstated. The objective is to enhance the medical community's understanding of ISK, focusing on early diagnosis and effective treatment of this rare but life-threatening disease. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Ba-shammakh et al.) |
| Databáze: | MEDLINE |
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