Ileosigmoid knot: Diagnostic value of CT in a rare double-volvulus entity Article Swipe
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· 2025
· Open Access
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· DOI: https://doi.org/10.1016/j.radcr.2025.10.034
Ileosigmoid knot (ISK) is a rare, life-threatening cause of intestinal obstruction characterized by a double volvulus involving the ileum and sigmoid colon. This case report highlights distinctive CT findings that facilitate early diagnosis and prompt surgical intervention. A 75-year-old male with chronic constipation and prior midline laparotomy presented with acute bowel obstruction without peritonitis. CT revealed a whirl sign involving both superior and inferior mesenteric artery branches, adjacent ileal loops, and an obliquely oriented torsion, suggestive of ISK. Emergency laparotomy confirmed a Type I ISK, enabling timely detorsion and prophylactic sigmoidectomy before ischemic complications developed. ISK should be suspected when CT demonstrates a whirl sign incorporating both superior and inferior mesenteric artery branches, adjacent ileal loops, and a torsion extending across multiple contiguous slices. These findings distinguish ISK from isolated sigmoid volvulus, guiding appropriate surgical management to optimize outcomes in this rare entity.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1016/j.radcr.2025.10.034
- OA Status
- gold
- References
- 5
- OpenAlex ID
- https://openalex.org/W7106151941
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W7106151941Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1016/j.radcr.2025.10.034Digital Object Identifier
- Title
-
Ileosigmoid knot: Diagnostic value of CT in a rare double-volvulus entityWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
-
2025-11-20Full publication date if available
- Authors
-
Manal El Moujahid, Raouia Refak, Abderrahmane Ibenyahia, Abdelhamid MAQSOUDI, Hamza Haddani, Zahra Hami, Nabil Ziani, Houcine Bensalah, Wiam Timsahi, Soukaina Wakrim, Manal El Moujahid, Raouia Refak, Abderrahmane Ibenyahia, Abdelhamid MAQSOUDI, Hamza Haddani, Zahra Hami, Nabil Ziani, Houcine Bensalah, Wiam Timsahi, Soukaina WakrimList of authors in order
- Landing page
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https://doi.org/10.1016/j.radcr.2025.10.034Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1016/j.radcr.2025.10.034Direct OA link when available
- Concepts
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Medicine, Laparotomy, Inferior mesenteric artery, Radiology, Sigmoid colon, Volvulus, Superior mesenteric artery, Constipation, Sigmoid volvulus, Emergency surgery, Ileal Diseases, Surgery, Bowel obstruction, Ileum, Artery, Surgical emergency, Multidetector computed tomography, Abdominal pain, Computed tomography, Emergency departmentTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
0Total citation count in OpenAlex
- References (count)
-
5Number of works referenced by this work
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