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CASE REPORT
Year : 2013  |  Volume : 1  |  Issue : 2  |  Page : 50-52

The "small" wrapping around the "large"!


1 Department of Radiodiagnosis, KMC Mangalore, Manipal University, Manipal, Karnataka, India
2 Department of Surgery, KMC Mangalore, Manipal University, Manipal, Karnataka, India

Correspondence Address:
Santosh Rai
Department of Radiodiagnosis, KMC Mangalore, Manipal University, Manipal, KarnatakaDepartment of Radiodiagnosis, KMC Mangalore, Manipal University, Manipal, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2320-3846.125038

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This is a case report of a 32-year-old female who presented with acute intestinal obstruction. The radiological diagnostic possibilty of midgut volvulus with ileo-sigmoid knotting and obstruction of the proximal sigmoid colon and small bowel was given. The diagnosis was confirmed intra-operatively with associated gangrene of the distal jejunum and proximal ileum. Resection of the gangrenous segments of bowel and the release of ileo-sigmoid knotting was performed. The literature about the ileo-sigmoid knot was reviewed. It may be difficult to diagnose this condition before surgery. This is a surgical emergency that requires urgent resection of gangrenous bowel and untwisting of the volvulus. The aim of this short communication is to increase awareness of the pre-operative computed tomography (CT) diagnosis of this condition.


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