Shuaib Abdullah, Khairy Ahmed, Aljasmi Mohammed, Alaa Sallam Mohamed, Abdulsalam Fareed
Department of Surgery, Jahra Hospital, Jahra, Kuwait.
Open Access Emerg Med. 2020 Jun 8;12:155-158. doi: 10.2147/OAEM.S250291. eCollection 2020.
Ileosigmoid knotting, also known as compound volvulus or double volvulus, is a rare surgical emergency causing intestinal obstruction. Principally, it is a closed-loop intestinal obstruction that involves the sigmoid and ileum. It is considered a rare cause of intestinal obstruction. Differentiation of ileosigmoid knot from simple sigmoid volvulus is important because endoscopic decompression in ileosigmoid knot might be hazardous and even fatal. Endoscopic decompression of ileosigmoid knot may lead to perforation or injury. The mortality rate of ileosigmoid knot in general may reach 48%. We present a case of a 30-year-old male patient who presented with ileosigmoid knot at our emergency room. The aim of reporting this case is to increase understanding of the condition to promote earlier diagnosis.
回肠乙状结肠扭结，也称为复合性肠扭转或双肠扭转，是一种导致肠梗阻的罕见外科急症。主要而言，它是一种涉及乙状结肠和回肠的闭袢性肠梗阻。它被认为是肠梗阻的罕见病因。区分回肠乙状结肠扭结与单纯乙状结肠扭转很重要，因为对回肠乙状结肠扭结进行内镜减压可能有危险甚至致命。回肠乙状结肠扭结的内镜减压可能导致穿孔或损伤。一般来说，回肠乙状结肠扭结的死亡率可达48%。我们报告一例30岁男性患者，他在我们的急诊室出现回肠乙状结肠扭结。报告此病例的目的是增进对该病症的了解以促进早期诊断。
