Five Year Retrospective Review of Pattern Of Clinical Presentation and Outcome of Patient With Diagnosis of Iliosigmoid Knotting Seen At Jimma University Medical Center between September 2016- November 2021 Gc.

Abstract

Background; Intestinal obstruction is a common cause of emergency surgical admission Several common causes are known in the general surgical practice, and the causes are different in the developing and developed world. One such cause is the Ileosigmoid knotting, which is associated with a high morbidity and mortality. Early diagnosis and intervention are the key of better outcome. Therefore, knowledge of clinical presentation, surgical management principal, factors affecting outcome is important. Objective; The aim of this study was to retrospectively review the clinic al presentation pattern, management and outcome of pateint operated for ISK over period of five year in Jimma university medical center, Jimma, Ethiopia. Methodology; A Cross-sectional retrospective study was employed. Medical record review of all pateintoperatedforIliosigmoidknottingatJUMConpateintfromeSeptember2016- November2021was conducted. Results -: A total of 47 patient charts were reviewed and the patients’ mean age was 41.8 years. The male to female ratio was 3.3: Most of the patients, (68.1%) Presented after twenty-four hours of symptom onset, with abdominal pain (91.5%), vomiting (74.5%), abdominal distention (25.55) and failure to pass either feces or flatus (53.2%) being the most common symptoms reported by patients. ISK was considered only in seven patients (14.9%) preoperatively. Most patients (59.6%) had both segment gangrene and resection of gangrenous segments with Ileostomy end colostomy was the commonest procedure performed. The mortality rate was 12.7. Statistically Significant association was found between postoperative complications and mortality. Conclusion; ISK is an uncommon form of double-loop bowel obstruction. It generally presents with symptoms and signs of mechanical bowel obstruction. High index of suspicion should be maintained to early diagnose and avoid delays in management of these patients. The choice of surgical procedure is determined by intraoperative finding