Which rare condition should be included in the differential diagnoses of sigmoid and cecal volvulus?

Updated: Nov 28, 2018
  • Author: Scott C Thornton, MD; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

The differential diagnosis of colonic volvulus includes a rare condition known as an ileosigmoid knot. An ileosigmoid knot occurs when the ileum and sigmoid colon become entangled, creating a knot that results in vascular compromise of the bowel. The patient presents with acute onset of abdominal pain and rapidly developing shock. Ileosigmoid knot is a life-threatening condition that requires urgent surgical treatment.


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