A Surgical Case of Intestinal Knot Syndrome （True Knot）

DOI
  • Uemura Jun
    Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University
  • Okano Keiichi
    Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University
  • Wakabayashi Ayaka
    Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University
  • Noge Seiji
    Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University
  • Asano Eisuke
    Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University
  • Usuki Hisashi
    Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University
  • Suzuki Yasuyuki
    Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University

Bibliographic Information

Other Title
  • 小腸─小腸間型腸管結節形成症（true knot）の1例

Description

<p>A 90-year-old male with the chief compliant of abdominal pain was referred to our hospital. Abdominal contrast-enhanced CT revealed extensive dilatation of the small intestine with poor enhancement, a positive whirl sign, and massive ascites. Under the presumed diagnosis of strangulated ileus, we performed emergency laparotomy. Strangulation due to knotting between two loops of the small intestine was confirmed intraoperatively. We performed resection of the involved small intestinal segments after first unknotting the knotted intestines. The residual length of the small intestine was approximately 300 cm. The postoperative course of the patient was uneventful and he was transferred to receive rehabilitation on the 19th postoperative day. In the majority of cases of the intestinal knot syndrome, the knotting occurs between the ileum and the sigmoid colon. Herein, we report a very rare case of an ileoileal-type intestinal knot syndrome (true knot).</p>

Journal

Keywords

Details 詳細情報について

  • CRID
    1390282679713438336
  • NII Article ID
    130005290537
  • DOI
    10.11231/jaem.36.1069
  • ISSN
    18824781
    13402242
  • Text Lang
    ja
  • Data Source
    • JaLC
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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