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- W4281262022 abstract "Ileo-sigmoid knotting is a very rare cause of bowel obstruction. The diagnosis can be challenging and may not be suspected pre-operatively. A high index of suspicion, especially in areas of the sigmoid belt region, can be helpful.A 40-year-old ethnic Amhara female patient presented with symptoms and signs of bowel obstruction. She presented in shock and after resuscitation, laparotomy revealed gangrenous ileum twisted around the sigmoid colon ('ileo-sigmoid knotting'). The gangrenous ileal segment was resected, with end-to-end ileo-ileal anastomosis. The patient had a smooth postoperative course and was discharged on the 4th post-operative day.Twisting of the ileum around the sigmoid colon is pathognomonic of ileo-sigmoid knotting. Prompt resuscitation and surgical intervention in the shocked patient with an acute abdomen and evidence of intestinal obstruction could be life-saving." @default.
- W4281262022 created "2022-05-23" @default.
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- W4281262022 date "2022-06-01" @default.
- W4281262022 modified "2023-09-26" @default.
- W4281262022 title "Ileo-sigmoid knotting in a female Ethiopian patient, a case report" @default.
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- W4281262022 doi "https://doi.org/10.1016/j.ijscr.2022.107217" @default.
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