{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T15:48:12Z","timestamp":1772639292933,"version":"3.50.1"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T00:00:00Z","timestamp":1746576000000},"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":[[2025,6]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction:<\/jats:title>\n Ileal strangulation is a rare condition that leads to upper intestinal obstruction. It is difficult to diagnose preoperatively and requires urgent medical and surgical management. We report the management of a case of appendicular knot on the ileum.<\/jats:p>\n <\/jats:sec>\n \n Case presentation:<\/jats:title>\n A 52-year-old patient was seen for an occlusive syndrome evolving in a febrile context, with a biological inflammatory syndrome. The diagnosis was mesocoeliac appendicitis. Imaging was not performed due to lack of access. Laparotomy revealed the necrotic ileal loop, strangulated by an inflammatory appendix. An ileo-caecal resection with terminal ascending ileo-colic anastomosis and cleaning of the peritoneal cavity were performed. Postoperative management was straightforward.<\/jats:p>\n <\/jats:sec>\n \n Clinical discussion:<\/jats:title>\n Strangulation of the terminal ileum by the appendix is a rare entity causing upper intestinal obstruction by strangulation. We report the 5th case in the literature from sub-Harienne Africa. The etiopathogenesis of this condition is believed to be appendicular length and inflammation. The pathophysiology describes 04 mechanisms, depending on the topography of the appendix. Surgical management is not codified, and depends on intraoperative findings.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Appendiceal strangulation of the ileum is a serious condition requiring complex preoperative diagnosis. It is a medical and surgical emergency requiring rapid management.<\/jats:p>\n <\/jats:sec>\n \n Highlights<\/jats:title>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2025.111414","type":"journal-article","created":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T20:59:11Z","timestamp":1746737951000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["A case report of an ileo-appendicular knotting causing strangulated small bowel obstruction"],"prefix":"10.1097","volume":"131","author":[{"given":"P'w\u00e8r\u00e9w Rodolphe","family":"Plante","sequence":"first","affiliation":[{"name":"General Surgery Department, Kara Teaching Hospital, Kara, Togo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kokou Kouliwa","family":"Kanassoua","sequence":"additional","affiliation":[{"name":"General Surgery Department, Kara Teaching Hospital, Kara, Togo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kossi Edem","family":"Gueouguede","sequence":"additional","affiliation":[{"name":"General Surgery Department, Kara Teaching Hospital, Kara, Togo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Constant","family":"Djiwa","sequence":"additional","affiliation":[{"name":"Anatomopathology Department, Kara Teaching Hospital, Kara, Togo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tam\u00e9gnon","family":"Dossouvi","sequence":"additional","affiliation":[{"name":"General Surgery Department, Dapaong Regional Hospital, Dapaong, Togo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iroukora","family":"Kassegne","sequence":"additional","affiliation":[{"name":"General Surgery Department, Tomd\u00e8 Regional Hospital, Kara, Togo"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-95-20260304","first-page":"248","article-title":"Etiologies and prognosis of acute mechanical bowel obstructions at Zinder National Hospital: a cross-sectional study of 171 patients","volume":"24","author":"Harissou","year":"2016","journal-title":"Pan Afr. 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Engl"},{"issue":"6\/7-Giugno-Luglio","key":"R5-95-20260304","first-page":"261","article-title":"Mechanical small bowel obstruction due to an inflamed appendix wrapping around the last loop of ileum","volume":"26","author":"Assenza","year":"2005","journal-title":"G Chir"},{"issue":"4","key":"R6-95-20260304","first-page":"413","article-title":"Case of small bowel occlusion due to strangulation by the vermiform appendix","volume":"56","author":"Ivoulsou","year":"1996","journal-title":"Med Too"},{"key":"R7-95-20260304","first-page":"4","article-title":"Appendicitis as a cause of intestinal strangulation: a case report and review","author":"Bhandari","year":"2009","journal-title":"World J. Emerg. Surg"},{"issue":"N\u00b04","key":"R8-95-20260304","first-page":"57","article-title":"Mechanical bowel obstruction by appendix. Review of two cases","volume":"XXIV","author":"Sanou","year":"2009","journal-title":"Mali Med"},{"key":"R9-95-20260304","first-page":"109","article-title":"A case of mechanical occlusion of small bowel","author":"Assohoun","year":"2016","journal-title":"Rev. Int. Sc. M\u00e9d. - RISM"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225006005?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225006005?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2025.111414","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T10:06:25Z","timestamp":1772618785000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2025.111414"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6]]},"references-count":9,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2025.111414","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2025,6]]},"assertion":[{"value":"2025-03-12","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-07","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}