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Intestinal Knot Syndrome 1예 : Ileosigmoid Knot
현태일,홍관희 인제대학교 1984 仁濟醫學 Vol.5 No.1
장매듭을 지어서 장폐쇄를 일으켰던 회귀한 1예를 체험하였기에 문헌 고찰과 함께 보고하는 바이다. Intestinal knot syndrome is rare variation in the spectrum of intestinal obstruction. The mast typical intestinal knot syndrome occurs between the ileum and the sigmoid. The coincidence of an abnormally mobile ileum with an elongated mesentery and a poorly attatched pelvic colon is essential for the formation of the ileosigmoid knot. The net effect of the formation of an ileal knot around the base of the pelvic colon is that of a double closed-loop obstruction in the sigmoid and ileum. Early and severe strangulation requires prompt surgical intervention. This condition is extremely rare in Korea. Reporting of this case, literatures were reviewed briefly.