{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T17:49:16Z","timestamp":1788284956126,"version":"build-2803163510"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T00:00:00Z","timestamp":1654041600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T00:00:00Z","timestamp":1654041600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,5,15]],"date-time":"2022-05-15T00:00:00Z","timestamp":1652572800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Ileo-sigmoid knotting is a very rare cause of bowel obstruction. The diagnosis can be challenging and may not be suspected pre-operatively. A high index of suspicion, especially in areas of the \u201csigmoid belt\u201d region, can be helpful.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 40-year-old ethnic Amhara female patient presented with symptoms and signs of bowel obstruction. She presented in shock and after resuscitation, laparotomy revealed gangrenous ileum twisted around the sigmoid colon (\u2018ileo-sigmoid knotting\u2019). The gangrenous ileal segment was resected, with end-to-end ileo-ileal anastomosis. The patient had a smooth postoperative course and was discharged on the 4th post-operative day.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Twisting of the ileum around the sigmoid colon is pathognomonic of ileo-sigmoid knotting. Prompt resuscitation and surgical intervention in the shocked patient with an acute abdomen and evidence of intestinal obstruction could be life-saving.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2022.107217","type":"journal-article","created":{"date-parts":[[2022,5,20]],"date-time":"2022-05-20T13:09:58Z","timestamp":1653052198000},"page":"107217","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Ileo-sigmoid knotting in a female Ethiopian patient, a case report"],"prefix":"10.1097","volume":"95","author":[{"given":"Biniam","family":"Ewnte","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleni","family":"Girma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-67-20260304","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/j.jviscsurg.2016.03.006","article-title":"Management of the colonic volvulus in 2016","volume":"153","author":"Perrot","year":"2016","journal-title":"J. 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Surg"},{"key":"R7-67-20260304","doi-asserted-by":"crossref","first-page":"906","DOI":"10.1007\/s10350-004-0528-9","article-title":"Ileosigmoidal knotting: outcome in 63 patients","volume":"47","author":"Atamanalp","year":"2004","journal-title":"Dis. Colon Rectum"},{"key":"R8-67-20260304","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"84","author":"Agha","year":"2020","journal-title":"Int. J. Surg"},{"key":"R9-67-20260304","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1007\/s10151-013-1046-3","article-title":"Treatment for ileosigmoid knotting: a single-center experience of 74 patients","volume":"18","author":"Sel\u00e7uk","year":"2014","journal-title":"Tech. Coloproctol"},{"key":"R10-67-20260304","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1007\/s00384-011-1381-7","article-title":"Intraoperative blood pressure changes as a risk factor for anastomotic leakage in colorectal surgery","volume":"27","author":"Post","year":"2012","journal-title":"Int. J. Color. Dis"},{"key":"R11-67-20260304","first-page":"541","article-title":"A new classification for ileosigmoid knotting","volume":"39","author":"Atamanalp","year":"2009","journal-title":"Turk. J. Med. Sci"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222004631?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222004631?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.107217","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T10:04:01Z","timestamp":1772618641000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.107217"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6]]},"references-count":10,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2022.107217","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2022,6]]}}}