ArticleCureus2025
Ileo-Ileal Knotting: A Rare Case of Bowel Strangulation.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Intestinal knotting syndrome is a rare cause of bowel obstruction, and ileo-ileal knotting is the least common type. Prompt surgical management is required to prevent rapid clinical deterioration. We present the case of a 50-year-old woman from Mexico arriving at the emergency room with intense abdominal pain, accompanied by nausea, vomiting, and mild abdominal distention. An exploratory laparotomy was performed, with the finding of a true ileo-ileal knot with ischemic bowel compromise. The etiology of ileo-ileal knotting is not well described, and it has not been linked to a specific age or sex. The surgical approach could vary between untying the knot if the affected loop is still viable or performing a resection en bloc with anastomosis if there are signs of necrosis or gangrene. Intestinal knotting is a diagnostic challenge usually confirmed at the time of the surgery. Surgeons must be aware of ileo-ileal knotting as a differential diagnosis for acute abdomen in order to operate on time, know when a resection is needed, and the right technique to perform in these cases.
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