ArticleThe Pan African medical journal2021
Ileosigmoid knot in a patient with Down syndrome: a unique surgical emergency.
Article in The Pan African medical journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed, 4 citations in OpenAlex.
- Clinical profile and treatment outcome of patients with ileo-sigmoid knotting, an experience from Ethiopian setting: a six years review.BMC surgery · 2025Article
- Report of incomplete intestinal obstruction in an adult patient with Down Syndrome: A literature review.Pakistan journal of medical sciences · 2024Article
- Sigmoid Volvulus and Ileosigmoid Knotting: An Update.The Eurasian journal of medicine · 2022Article
- Comments on "Ileosigmoid knot in a patient with Down syndrome: a unique surgical emergency" by Boussaidane SThe Pan African medical journal · 2021Article
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Authors and funding
5 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
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.
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