[11] classify ISK into three types: type I, where the active ileum wraps around the base of the sigmoid colon; type II, where the active sigmoid colon wraps around the ileum; and type III, where the active
ileocaecal segment wraps around the sigmoid colon.
72% of patients had mass which was firm in consistency, which includes mostly cases of appendicular mass and
ileocaecal tuberculosis.
Non-steroidal anti-inflammatory drug use seems to be associated with erosions, ulcers, strictures, perforations and diaphragms leading to obstructions of the
ileocaecal region [3,9].
Beyond pure measurement of transit times, it has recently been proposed that the change in pH across the
ileocaecal junction may represent a surrogate marker for caecal fermentation, which itself may influence colonic transit times [51].
A large necrotic mass originating from the mesentery of the
ileocaecal junction was noted (Figure 1).
Although each clinical finding suggested a colonic or caecum perforation, during the systematic exploration of the bowel loops, surgeons found free intestinal fluid in the abdomen, fecal peritonitis, and (at 60-70 from
ileocaecal valve) a 3 cm linear tear of the ileum which was caused by the curve edge of a shell mussel (Figure 1).
With torsion, the distended caecum rotates about its longitudinal axis and with retroflexion, caecum folds dorsally or ventrally in
ileocaecal region, resulting in cranial orientation of apex.
The pneumoperitoneum model was achieved using an insufflation technique with laparoscopy, while the mechanical obstruction model was achieved by placing a laparoscopic suture at the
ileocaecal valve, with 0.9% saline infused into the bowel.
Sometimes it runs out to be gangrenous caecum,
ileocaecal tuberculosis, Crohn's disease, Meckle's diverticulum, non rotated gut, volvulus of caecum, tubo ovarian mass, even ureteric stone.
Organs such as the bladder,
ileocaecal (iliac fossa) and rectosigmoid region, colon, urethra, and extension to the skin have been reportedly affected in various published cases.
Abdominal TB accounts for 11% of all EPTBs, with the most common site of involvement being the
ileocaecal region [2].
During the first two sessions, myofascial-release treatment (MFR) was applied to the abdomen region for abdominal bloating, and strain-counterstrain techniques were applied to the
ileocaecal valve and gastroduodenal junction.