Ileosigmoid Knot at Week 13 of Pregnancy: Report of a Case
| Autor: | Homare Ito, Haruko Irie, Yoshinori Hoshino, Junji Furukawa, Toshiaki Terauchi, Riha Shimizu, Kenji Kobayashi, Masaru Kimata, Hiroharu Shinozaki, Yoshiro Ogata |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Ileum Emergency surgery Ileosigmoid knot Pregnancy Laparotomy medicine Humans Colorectal Gangrene Abdomen Acute Sigmoid Diseases business.industry Ileal Diseases Anastomosis Surgical Sigmoid colon Small bowel obstruction medicine.disease digestive system diseases Surgery Pregnancy Complications medicine.anatomical_structure Acute abdomen Female Strangulation medicine.symptom business Tomography X-Ray Computed Intestinal Obstruction |
| Zdroj: | International Surgery |
| ISSN: | 0020-8868 |
| Popis: | The ileosigmoid knot (ISK) is a rare cause of intestinal obstruction. ISK is a condition in which the ileum wraps around the base of the sigmoid colon and forms a knot, leading to high mortality with rapid progression to bowel gangrene. We herein report a rare case of ISK at week 13 of pregnancy. The ISK was diagnosed by computed tomography, and the patient underwent emergency surgery for acute abdomen. Laparotomy showed segmental gangrenous change in the sigmoid colon, which was twisted around the distal ileal loop. The gangrenous bowel was resected, and primary anastomosis was performed. To our knowledge, the present case involves the first and earliest pregnancy in which a preoperative diagnosis of ISK was made and successful treatment was performed with surgery. A radiologic approach should be undertaken for prompt diagnosis and optimal management, even in early pregnancy. |
| Databáze: | OpenAIRE |
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