Ileo-ileal knotting causing gangrenous small bowel obstruction; a rare case report.

Shimelis Seid, Haddis Birhanu, Getachew Yenus, Bewuketu Abate, Habtu Adane

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Article in International journal of emergency medicine, 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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5 authors.

Shimelis SeidDepartment of Anesthesia, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia.

Haddis BirhanuDepartment of Surgery, School of Medicine, Bahir Dar University, Bahir Dar, Ethiopia.

Getachew YenusDepartment of Surgery, School of Medicine, University of Gondar, Gondar, Ethiopia.

Bewuketu AbateDepartment of Surgery, School of Medicine, University of Gondar, Gondar, Ethiopia.

Habtu AdaneDepartment of Anesthesia, School of Medicine and Health Science, University of Gondar, Gondar, Ethiopia. habituadane@gmail.com.

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6 · The paper itself

Abstract

backgroundIleo-ileal knotting was first described by Riverius in the 16th century and by Rokitansky in 1836. It is one of the rare causes of acute abdominal pain which mandates urgent surgical treatment. Preoperative investigations are usually nonspecific and high index of suspicion. CASE PRESENTATION: A 27-year- old male was admitted to Gondar University hospital with a preliminary diagnosis of intussusception and underwent emergency open laparotomy. Intraoperatively a small intestine gangrene caused by an ileo-ileal knot was found. Resection of the gangrenous segment followed by ileo-transverse colon anastomosis was done. Post- operative course was smooth and he was discharged improved.

conclusionIleo-ileal knot should be highlighted as a rare cause of acute small bowel obstruction. that necessitates immediate surgical intervention, particularly in resource limited setups, and complications should be considered in the perioperative period.

Indexed as

Case reportGangrenous bowelIleo-ilea knotSmall intestine

Identifiers

PMID41466217

DOI10.1186/s12245-025-01097-7

PMCPMC12866458

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