Author(s)

Maïga Amadou^1*, Diakité Ibrahima², Bah Amadou², Diallo Aly Boubacar¹, Traoré Bathio¹, Moussa Diassana¹, Sidibé Boubacar Yoro², Koné Tani², Doumbia Arouna Adama², Traoré Amadou², Saye Zakari², Diallo Mamadou³, Konaté Moussa³, Saadé Oumou Hélène², Kanté Lassana², Konaté Madiassa², Dembélé Souleymane², Samaké Moussa², Dembélé Bakary Tientigui², Traoré Alhassane², Togo Adégné²

¹General Surgery Department, University Hospital, Bamako, Mali.
²General Surgery Department, Sikasso Hospital, Sikasso, Mali.
³Reference Center of Commune VI, Bamako, Mali.

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 and 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.

Ileosigmoid Node, Digestive Surgery, Bamako, Mali

Amadou, M. , Ibrahima, D. , Amadou, B. , Boubacar, D. , Bathio, T. , Diassana, M. , Yoro, S. , Tani, K. , Adama, D. , Amadou, T. , Zakari, S. , Mamadou, D. , Moussa, K. , Hélène, S. , Lassana, K. , Madiassa, K. , Souleymane, D. , Moussa, S. , Tientigui, D. , Alhassane, T. and Adégné, T. (2022) Diagnosis and Therapeutic Aspects of the Ileo-Sigmoidian Node in the General Surgery Department of Gabriel Toure Chu. Surgical Science, 13, 23-27. doi: 10.4236/ss.2022.131004.