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Introduction And Importance: This case report aims to highlight the clinical presentation, diagnostic challenges, surgical intervention, and subsequent management strategies of ISK during Ramadan fasting.

Case Presentation: 52-Year-old male with a three-day history of symptoms of intestinal obstruction. He complained of abdominal distention, vomiting, and absolute constipation.

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Background: Neonatal intestinal malrotation complicated by midgut volvulus is a serious and common life-threatening complication. When the midgut volvulus is prolonged or severe, it can lead to secondary necrosis of the entire midgut, with high mortality rates. Therefore, improving understanding the clinical characteristics of this condition is necessary to facilitate early diagnosis and treatment.

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An ileo-anal pouch doing the twist (with video).

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Centre for Digestive Endoscopy, APHP, Saint Antoine Hospital, Sorbonne University, Paris, France. Electronic address:

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Article Synopsis
  • Intestinal endometriosis is a rare but significant cause of intestinal obstruction, and this case report emphasizes the challenges in diagnosis and management associated with the condition.
  • A 50-year-old woman experiencing severe abdominal pain and symptoms of blockage underwent diagnostic imaging, which revealed small bowel dilation and an ileal volvulus, ultimately leading to surgical intervention.
  • Post-surgery, the patient's recovery was gradual, with a later successful reversal of an ileostomy, highlighting the need for awareness of intestinal endometriosis in women with gastrointestinal symptoms and the importance of prompt surgical management.
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