The Ileo Sigmoidal Node: A Rare Cause of Bowel Obstruction

Abstract

The objective of this work is to highlight and discuss a rare cause of intestinal obstruction with a poor prognosis, through the case of an intestinal obstruction on ileo sigmoidal volvulus or (ileo sigmoidal node) for which we will discuss its clinical, paraclinical, therapeutic and evolutionary characteristics, with review of the literature. This is a 45 year old patient, without any particular pathological history, admitted for abdominal defence of sudden onset associated with a cessation of matter and gas, the biological work-up objective a hyperleucocytosis at 15000 (G/L), with a CRP at 45 mg/l, the abdominal film without preparation objective a gallic and colonic distension with the presence of a hydroareic level, An abdomino-pelvic CT scan was requested as a matter of urgency and showed distension of the gallbladder and colonic anses with evidence of a transitional level upstream of an ileo-sigmoid loop, immediate surgical management was required with a sigmoidectomy and resection of 25 cm of the small bowel. The postoperative follow-up was marked by a disappearance of the pain with resumption of intestinal transit. Although ileo sigmoidal volvulus is a rare cause of bowel obstruction, diagnosis should be made early to avoid bowel necrosis.