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Kyle R. VerSteeg, MD; William A. Whitehead, MD

Arch Surg. 1980;115(6):761-763.

Abstract
• The ileosigmoid knot (ISK) is a variant of midgut volvulus in which a loop of ileum wraps around the base of an elongated sigmoid colon and passes beneath itself forming a knot. A long small bowel mesentery and a sigmoid colon on a narrow pedicle are necessary prerequisites, but the wide variation in incidence of ISK across the world seems to be related to dietary habits. Rapid fluid resuscitation, preoperative broad-spectrum antibiotics, methylprednisolone in the presence of shock, and immediate laparotomy may improve the high mortality.

(Arch Surg 115:761-763, 1980)

Author Affiliations
From the Department of General Surgery, Scott and White Hospital, Temple, Tex.

Footnotes
Accepted for publication Oct 31, 1979.

Reprint requests to 1428 N Second Ave, Fort Dodge, IA 50501 (Dr VerSteeg).

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