Diagnosis and Therapeutic Aspects of the Ileo-Sigmoidian Node in the General Surgery Department of Gabriel Toure Chu
- 1 General Surgery Department, University Hospital, Bamako, Mali
- 2 General Surgery Department, Sikasso Hospital, Sikasso, Mali
- 3 General Surgery Department, Sikasso Hospital, Sikasso, Mali
- 4 General Surgery Department, University Hospital, Bamako, Mali
- 5 General Surgery Department, University Hospital, Bamako, Mali
- 6 General Surgery Department, University Hospital, Bamako, Mali
- 7 General Surgery Department, Sikasso Hospital, Sikasso, Mali
- 8 General Surgery Department, Sikasso Hospital, Sikasso, Mali
- 9 General Surgery Department, Sikasso Hospital, Sikasso, Mali
- 10 General Surgery Department, Sikasso Hospital, Sikasso, Mali
- 11 General Surgery Department, Sikasso Hospital, Sikasso, Mali
- 12 Reference Center of Commune VI, Bamako, Mali
- 13 Reference Center of Commune VI, Bamako, Mali
- 14 General Surgery Department, Sikasso Hospital, Sikasso, Mali
- 15 General Surgery Department, Sikasso Hospital, Sikasso, Mali
- 16 General Surgery Department, Sikasso Hospital, Sikasso, Mali
- 17 General Surgery Department, Sikasso Hospital, Sikasso, Mali
- 18 General Surgery Department, Sikasso Hospital, Sikasso, Mali
- 19 General Surgery Department, Sikasso Hospital, Sikasso, Mali
- 20 General Surgery Department, Sikasso Hospital, Sikasso, Mali
- 21 General Surgery Department, Sikasso Hospital, Sikasso, Mali
Abstract
Introduction: Emergency medico-surgical ileosigmoid node is a rare cause of intestinal obstruction. Diagnosis and treatment must be prompt. Objective: To determine the frequency of NIS, to describe the diagnostic aspects, therapeutic aspects and to analyze the postoperative effects. Methodology: Retrospective an d prospective study from January 2006 to December 2020 including all patients operated on for ileosigmoid node confirmed by the intraoperative diagnosis at the CHU Gabriel Touré. Results: From January 2006 to December 2020 (15 years), 30 cases of ileo-sigmoid node were recorded in the service. During this period NIS accounted for 0.19% of surgeries. Abdominal pain was present in (100%) of cases, vomiting was present in 80% and cessation of materials and gas (57%). All of our patients underwent ASP and CT (1 case). All of our patients were operated on, and exploration revealed intestinal necrosis in 97%. The surgical procedures performed were colostomy according to HARTMANN (63%), anastomosis resection (16%), devolvulation (10%). Restoration of continuity was achieved in (73%). The postoperative consequences were straightforward in (80%). Morbidity was 17% including infection of the lining. Mortality was 3% (1 case). Conclusion: NIS is an emergency, the diagnosis and the management must be fast and precise.
- Arthur, V., Pascal, A., Hubert, R., et al. (2007) Le noeud ileosigmoidien: Une cause improbable d’occlusion intestinale primitive par strangulationbifocal. Gastroentérologie Clinique et Biologique, 31, 975-977. https://doi.org/10.1016/S0399-8320(07)78308-2
- Atamanalp, S.S., Oren, D., Yildirgan, M., et al. (2004) Ileosigmoidal Knotting: Outcome in 63 Patients. Diseases of the Colon & Rectum, 47, 906-910. https://doi.org/10.1007/s10350-004-0528-9
- Journé, C., Ravard, C., Monneuse, O. and Pilleul, F. (2008) Noeud iléosigmoïdien: Une urgence chirurgicale. Journal of Radiology, 89, 1947-1949. https://doi.org/10.1016/S0221-0363(08)74793-0
- Sani, R., Didier, J.L., Chaibou, M.S., et al. (2011) Urgences coliques chirurgicales de l’adulte à l’hôpital national de Niamey (Niger). Journal Africain de Chirurgie Digestive, 11, 1162-1166.
- Konaté, M., Traoré, A.A., Koné, T., Karembé, B., Kanté, D., Diop, T.M., et al. (2018) Volvulus du grêle chez l’adulte en Chirurgie Générale au CHU Gabriel Touré, Bamako, Mali. Journal Africain de Chirurgie Digestive, 18, 2307-2311.
- Dembele, C. (2014) Volvulus du sigmoide dans le service de chiorurgie Générale de l’hopitale de Sikasso. These de médecine, Bamako, N°61, 99.
- Traore, H. (2012) Volvulus du sigmoïde dans le service de chirurgie “A” au CHU du point G. Thèse de médecine, Bamako, N°60, 91.