Affiliations 

  • 1 Hospital Kuala Lumpur, Department of General Surgery, Kuala Lumpur, Malaysia. mohan301979@gmail.com
  • 2 Hospital Kuala Lumpur, Department of General Surgery, Kuala Lumpur, Malaysia
Med J Malaysia, 2017 12;72(6):370-371.
PMID: 29308777 MyJurnal

Abstract

Intestinal knot formation was first described by Riverius in 16th century and later by Rokitansky in 1836. We report a very rare cause of small bowel gangrene caused by appendiceal knotting on to the ileum in a previously healthy mid aged lady. Patient underwent laparatomy and right hemicolectomy and primary anastomosis. The intra operative findings were the appendix was twisting (knotting) the small bowel about 40cm from the terminal ileum and causing gangrene to the segment of small bowel. Appendicitis is a common condition and management is usually straightforward. However we must be aware of rare complications which may arise that require a change from the standard treatment of acute appendicitis.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.