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A Case of Ileosigmoid Knotting in a Ghanaian Patient

Authors Li X, Zakariah SM, Shi Y

Received 23 September 2020

Accepted for publication 9 November 2020

Published 25 November 2020 Volume 2020:13 Pages 1265—1269

DOI https://doi.org/10.2147/IJGM.S279870

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 5

Editor who approved publication: Dr Scott Fraser


Xuguang Li,1,2 Seidu Mohamadu Zakariah,2 Yongyong Shi2,3

1Department of Abdominal Surgery, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong Province, People’s Republic of China; 2Surgical Department, Lekma Hospital, Accra, Ghana; 3Department of Anesthesia, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong Province, People’s Republic of China

Correspondence: Yongyong Shi
Department of Anesthesia, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, No. 111 Dade Road, Guangzhou, Guangdong Province, People’s Republic of China
Tel +86-13926088958
Fax +86-20-39318521
Email shiyy211@163.com

Abstract: Ileosigmoid knotting is a rare condition in which a compound volvulus causes acute intestinal obstruction. In this process, the terminal ileum wraps around the base of the mesosigmoid and sigmoid colon, forming a knot. This condition tends to rapidly progress to gangrene of both the ileum and sigmoid colon; hence, the mainstay of treatment is timely emergency surgery. In this report, we describe the case of a 20-year-old Ghanaian female patient and discuss the available surgical options regarding ileosigmoid knotting.

Keywords: ileosigmoid knotting, compound volvulus, intestinal obstruction

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