Li Xuguang, Zakariah Seidu Mohamadu, Shi Yongyong
Department of Abdominal Surgery, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong Province, People's Republic of China.
Surgical Department, Lekma Hospital, Accra, Ghana.
Int J Gen Med. 2020 Nov 25;13:1265-1269. doi: 10.2147/IJGM.S279870. eCollection 2020.
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.
回肠乙状结肠扭结是一种罕见的情况,即复合性肠扭转导致急性肠梗阻。在这个过程中,回肠末端围绕乙状结肠系膜根部和乙状结肠,形成一个结。这种情况往往会迅速发展为回肠和乙状结肠坏疽;因此,治疗的主要方法是及时进行急诊手术。在本报告中,我们描述了一名20岁加纳女性患者的病例,并讨论了关于回肠乙状结肠扭结的可用手术选择。