{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T06:00:01Z","timestamp":1788328801134,"version":"build-2803163510"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2024,3,12]],"date-time":"2024-03-12T00:00:00Z","timestamp":1710201600000},"content-version":"vor","delay-in-days":11,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Ileosigmoidal knotting (ISK) is a rare, possibly fatal cause of intestinal obstruction. ISK is a compound volvulus that is more common in Africa and Asia. ISK is mostly seen in adults, pediatric cases reported in the literature are much rarer. In this report, we present the first reported case of ISK in a pediatric patient from Nepal. An 8-year-old male child presented with symptoms of abdominal pain, vomiting, and obstipation. The abdomen was distended with generalized tenderness. Erect abdominal X-ray showed multiple air-fluid levels. Intraoperatively, gangrenous ileum loops were entangled around the sigmoid, and resection of the gangrenous ileum and sigmoid was performed. An end-to-end colo-colic anastomosis from the descending colon to the remaining sigmoid with a double-loop ileostomy was performed. Pediatric ISK is a rare fatal form of intestinal obstruction that progresses quickly to gangrene. Clinical signs and symptoms are nonspecific, making preoperative diagnosis challenging.<\/jats:p>","DOI":"10.1093\/jscr\/rjae142","type":"journal-article","created":{"date-parts":[[2024,3,12]],"date-time":"2024-03-12T20:45:50Z","timestamp":1710276350000},"source":"Crossref","is-referenced-by-count":2,"title":["Ileosigmoidal knotting: a case report and literature review of a rare cause of acute abdomen in children"],"prefix":"10.1093","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4427-1964","authenticated-orcid":false,"given":"Dipak K","family":"Yadav","sequence":"first","affiliation":[{"name":"Department of General Surgery, Nobel Medical College Teaching Hospital , Kanchanbari, Biratnagar-4, Morang 56613 , Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjay K","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Nobel Medical College Teaching Hospital , Kanchanbari, Biratnagar-4, Morang 56613 , Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5956-9558","authenticated-orcid":false,"given":"Saurav","family":"Poudel","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Nobel Medical College Teaching Hospital , Kanchanbari, Biratnagar-4, Morang 56613 , Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bivusha","family":"Parajuli","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Nobel Medical College Teaching Hospital , Kanchanbari, Biratnagar-4, Morang 56613 , Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Bhattarai","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Nobel Medical College Teaching Hospital , Kanchanbari, Biratnagar-4, Morang 56613 , Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dinesh","family":"Adhikari","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Nobel Medical College Teaching Hospital , Kanchanbari, Biratnagar-4, Morang 56613 , Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,3,12]]},"reference":[{"key":"2024031217103152400_ref1","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1007\/s00268-006-0255-6","article-title":"Ileosigmoidal knotting in children: a review of 9 cases","volume":"31","author":"Atamanalp","year":"2007","journal-title":"World J Surg"},{"key":"2024031217103152400_ref2","doi-asserted-by":"crossref","first-page":"671","DOI":"10.12669\/pjms.343.14893","article-title":"Ileosigmoid knotting: one of the largest single-center series","volume":"34","author":"Atamanalp","year":"2018","journal-title":"Pak J Med Sci"},{"key":"2024031217103152400_ref3","doi-asserted-by":"crossref","first-page":"106635","DOI":"10.1016\/j.ijscr.2021.106635","article-title":"Ileosigmoid knotting: a case report of unique cause of acute abdomen in a Nepalese patient","volume":"90","author":"Subedi","year":"2022","journal-title":"Int J Surg Case Rep"},{"key":"2024031217103152400_ref4","first-page":"306","article-title":"Case of intestinal obstruction: sigmoid flexure strangulated by the ileum","volume":"64","author":"Parker","year":"1845","journal-title":"Edinb Med Surg J"},{"key":"2024031217103152400_ref5","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1002\/bjs.1800540615","article-title":"Ninety-two cases of ileosigmoid knotting in Uganda","volume":"54","author":"Shepherd","year":"1967","journal-title":"Br J Surg"},{"key":"2024031217103152400_ref6","doi-asserted-by":"crossref","first-page":"402","DOI":"10.4103\/0256-4947.55173","article-title":"Ileosigmoid knot: a case report and literature review of 280 cases","volume":"29","author":"Machado","year":"2009","journal-title":"Ann Saudi Med"},{"key":"2024031217103152400_ref7","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1007\/s12262-011-0346-y","article-title":"Ileosigmoid knot","volume":"74","author":"Mandal","year":"2012","journal-title":"Indian J Surg"},{"key":"2024031217103152400_ref8","doi-asserted-by":"crossref","first-page":"1139","DOI":"10.1007\/BF02052263","article-title":"Ileosigmoid knotting in Turkey. Review of 68 cases","volume":"36","author":"Alver","year":"1993","journal-title":"Dis Colon Rectum"},{"key":"2024031217103152400_ref9","doi-asserted-by":"crossref","first-page":"711","DOI":"10.12669\/pjms.38.3.5320","article-title":"Ileosigmoid knotting: a review of 923 cases","volume":"38","author":"Atamanalp","year":"2022","journal-title":"Pak J Med Sci"},{"key":"2024031217103152400_ref10","doi-asserted-by":"crossref","first-page":"1509","DOI":"10.1053\/jpsu.2002.35435","article-title":"A case of ileosigmoid knotting in a child","volume":"37","author":"Ohtsuka","year":"2002","journal-title":"J Pediatr Surg"},{"key":"2024031217103152400_ref11","first-page":"116","article-title":"Ileosigmoid knotting. Eurasian","volume":"41","author":"Atamanalp","year":"2009","journal-title":"J Med"},{"key":"2024031217103152400_ref12","doi-asserted-by":"crossref","first-page":"685","DOI":"10.2214\/ajr.174.3.1740685","article-title":"The ileosigmoid knot: CT findings","volume":"174","author":"Lee","year":"2000","journal-title":"AJR Am J Roentgenol"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/3\/rjae142\/56942822\/rjae142.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/3\/rjae142\/56942822\/rjae142.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,12]],"date-time":"2024-03-12T20:45:57Z","timestamp":1710276357000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjae142\/7626557"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,3,5]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjae142","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,3]]},"published":{"date-parts":[[2024,3]]},"article-number":"rjae142"}}