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Case Report
Ileosigmoid knotting in third trimester; a surgical and obstetric diagnostic dilemma: Case report
1 Department of Surgery, Faculty of Medicine, St. Francis University College of Health and Allied Sciences, Mororgoro, Tanzania
2 Department of Microbiology, Faculty of Medicine, St. Francis University College of Health and Allied Sciences, Morogoro, Tanzania
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Theresia Andrew Karuhanga
Department of Surgery, Faculty of Medicine, St. Francis University College of Health Science, Morogoro,
Tanzania
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Article ID: 100056S05TK2022
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How to cite this article
Karuhanga TA, Tekie FG, Madoshi BP. Ileosigmoid knotting in third trimester; a surgical and obstetric diagnostic dilemma: Case report. Edorium J Surg 2022;9:100056S05TK2022.ABSTRACT
Ileosigmoid knotting (ISK), also known as compound volvulus, is a rare surgical emergency leading to intestinal obstruction. It is extremely rare in pregnant women and is a fatal disease due to rapid gangrene caused by delay of diagnosis and management. Early determination of the disease and management is very important to serve the maternal and fetal life. We present a rare case of ISK in a 30-year-old, 38-week pregnant woman whose diagnosis was confirmed during operation.
Keywords: Gangrenous bowel, Ileosigmoid knotting, Pregnancy, Septic shock
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Acknowledgments
The authors would like to acknowledge the great support from the doctors and nurses from St. Francis Referral and Mulimba District Hospitals, respectively, and other staff members for patient care and extra patient’s information.
Author Contributions:Theresia Andrew Karuhanga - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Fassil Gebreegziabher Tekie - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Balichene Philbert Madoshi - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Theresia Andrew Karuhanga et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
