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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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Article Synopsis
  • - Compound volvulus, or ileosigmoid knotting, is a rare yet serious condition that causes intestinal obstruction by twisting a section of the small intestine, disrupting blood flow and requiring immediate surgical intervention.
  • - Diagnostic imaging like CT scans or MRIs is more effective than X-rays in differentiating ileosigmoid knotting from other intestinal blockages, highlighting the necessity for precise diagnosis in urgent cases.
  • - The case of a 45-year-old male patient presenting with severe abdominal pain, vomiting, and signs of dehydration emphasizes the urgent need for surgical evaluation, as symptoms may indicate acute bowel obstruction due to this condition.
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