Appendico-ileal knotting a rare cause of small bowel obstruction; case report and literature review from Leku general hospital,Ethiopia

Abstract Small bowel obstruction is the common caus of acute abdomen for which emergency surgical intervention is mandatory. Bowel knottings like ileosigmoid knotting, ileoileal knotting,ileocecal knotting and appendicoileal knottings are rare ocurrances as a cause of obstruction.Among these appendicoileal knotting is by far the rarest cause of obstruction. Since its 1st report in 1901, there are case reports of this scenario but all associated it with the presence of appendicitis. We report a 28yrs old female patient who presented with sign symptom of small bowel obstruction for whom appendico-ileal knotting is identified with healthy looking appendix rapped around the distal ileum which was a near miss bowel segment which later returned healthy after the appendix release and warm saline socked sterile pack rapped for a minutes.Appendicoileal knotting can occur in the absence of preceding appendicitis.