||A Case of a Resected Ileosigmoid Knot in an Older Schizophrenic Patient
Okuda, Yoichi ,
Oshiro, Yukio ,
Enomoto, TsuyoshiOhkohchi, Nobuhiro
The Kitakanto medical journal = 北関東医学
292 , 2016-11-01 , 北関東医学会
The ileosigmoid knot (ISK) is a rare cause of intestinal obstruction in which the ileum wraps around the baseof the sigmoid colon and forms a pseudo-knot of the intestine. Herein,we report a case of 76-year-old female withschizophrenia who presented with pan-peritonitis and shock. A 76-year-old female with shock was brought to ourhospital. She had a history of schizophrenia and a yearlong stay in a mental hospital before this admission. Shewas diagnosed with strangulation ileus by computed tomography(CT). The CT scan specifically showed that aloop of ileum was wrapped around the base of the sigmoid colon in anticlockwise direction, leading to theformation of a knot. The patient underwent emergent laparotomy soon after admission. Gangrenous portions ofthe ileum and sigmoid colon were resected, and an end-to-end anastomosis with a covering stoma was performed.We report a case of ileosigmoid knot in which the patient had schizophrenia,and discuss the relationship betweenpsychiatric disorder and dietary habits which may be associated with the patient’s led to the development of theISK.