Department of General Surgery, Ibn Tofail Hospital, Mohamed VI University Hospital, Cadi Ayad University, Marrakech, Morocco.
Pan Afr Med J. 2021 Jan 5;38:8. doi: 10.11604/pamj.2021.38.8.27407. eCollection 2021.
The ileosigmoid knot (ISK) or double ileosigmoid volvulus is a wrapping of the small intestine around the base of the sigmoid colon. We report an unusual case in the digestive surgery department of the Ibn Tofail Hospital of CHU Mohammed VI Marrakech of a 28-year-old man with Down's syndrome who presented with symptoms and signs of intestinal obstruction. Abdominal CT scan revealed a whirl sing and significant distension of the sigmoid loop. Exploratory laparotomy revealed ISK resulting in gangrene of ileum and sigmoid colon. The surgical procedure was a necrotic digestive segments resection, with a double-barrelled ileostomy and a Hartmann procedure. One month afterwards, the patient was operated on to reestablish of the continuity. Through this observation and a review of the literature we define the diagnostic, therapeutic and prognosis aspects of this rare clinical entity.
回肠乙状结肠结（ISK）或双回肠乙状结肠扭转是小肠围绕乙状结肠基部的缠绕。我们在穆罕默德六世马拉喀什 CHU 伊本·图法尔医院的消化外科部报告了一例不寻常的病例，涉及一名 28 岁的唐氏综合征男子，他出现肠梗阻的症状和体征。腹部 CT 扫描显示漩涡征和乙状结肠环显著扩张。剖腹探查显示 ISK 导致回肠和乙状结肠坏死。手术过程是切除坏死的消化道段，并进行双套管回肠造口术和 Hartmann 手术。一个月后，对该患者进行手术以重建连续性。通过这次观察和文献复习，我们确定了这种罕见临床实体的诊断、治疗和预后方面。
