Ileosigmoid Knotting: An Unusual Cause of Acute Abdomen in Jalingo, Taraba State, Nigeria
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ID: 314178
2026
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Abstract
Ileosigmoid knotting, also known as compound volvulus, is a rare cause of bowel obstruction that is potentially life-threatening. It poses a significant diagnostic challenge due to its rarity as well as non-specific clinical and radiological characteristics. We present a 50-year-old man with clinical features that were consistent with strangulated bowel obstruction who had a laparotomy with intra-operative findings of a gangrenous ileosigmoid knotting. A twisted gangrenous terminal ileum around the base of a twisted gangrenous sigmoid colon was found. He had a right hemicolectomy and sigmoidectomy with a primary ileocolic and colo-colic anastomosis, respectively. This case highlights the need for a high index of suspicion, adequate resuscitation, and prompt surgical intervention to reduce the morbidity and mortality associated with this surgical disease.
| Reference Key |
agada2026ileosigmoid
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|---|---|
| Authors | Horace Ojobo Agada, Daniel Adams Marwa, Chucks Azubuike, Mshelia Joseph Mwajim, Kyantiki Peter Adamu, Dahiru Ahmadu |
| Journal | Yemen Journal of Medicine |
| Year | 2026 |
| DOI |
10.63475/yjm.v5i1.0262
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| URL | |
| Keywords | Keywords not found |
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