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The large bowel involvement was excluded in our review as major work about ISK is already listed in the literature and it is highly unlikely for the remaining large bowel (except sigmoid colon) to form knots due to its fixity to the retroperitoneum. The most common preoperative diagnosis detected wa...

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Bibliographic Details
Published inAnnals of the Royal College of Surgeons of England Vol. 104; no. 3; pp. 236 - 237
Main Authors Bains, L, Yasir Beg, M, Lal, P, Kumar N, P
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group LTD 01.03.2022
Royal College of Surgeons
Subjects
Abdomen
Azad, Abul Kalam (1888-1958)
Colon
Diarrhea
Endoscopy
Humans
Intestinal obstruction
Intestine, Small - surgery
Knots
Letters and
Medical schools
Mesentery
Small intestine
Suture Techniques
Middle East
India
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Summary:The large bowel involvement was excluded in our review as major work about ISK is already listed in the literature and it is highly unlikely for the remaining large bowel (except sigmoid colon) to form knots due to its fixity to the retroperitoneum. The most common preoperative diagnosis detected was of sigmoid volvulus (52.6%).5 Usually, the plain radiographic evidence shows combined small and large bowel dilatation, however a prominent large bowel loop that mimics ‘omega loop’ points towards sigmoid volvulus.6 There may be suggestive findings on CT too, but the knotting phenomenon is confirmed to be intraoperative only. CT can show findings suggestive of a sigmoid volvulus, including the characteristic whirl sign created by the twisted intestine and mesocolon, as well as the signs of bowel ischaemia, such as pneumatosis.
Bibliography:SourceType-Other Sources-1
content type line 63
ObjectType-Correspondence-1
ObjectType-Commentary-2
ISSN:0035-8843
1478-7083
DOI:10.1308/rcsann.2021.0293