
Figure 1: Intraoperative Finding of Appendicoieal Knotting Revealing Appendix Rapped Around the Distal Ileal Segment
| Author And Year | Age | Sex | Clinical Presentatio | Intraoperative Findings | Procedure | Outcome |
| Mandal et al (2025) [1] | 64 | male | Abdominal pain, vomiting, inability to pass stool and flatus. | Appendix mucocele knotting causing cecal and ileal gangrene | Limited right hemicolectomy and double-barrel stoma. | Uneventful postoperative recover |
| Abule T,Chebo T,Billoro BB, (2022) [2] | 30 | Female | Colicky abdominal pain, vomiting, and constipation | Appendico-ileal knot causing small bowel obstruction (SBO). | Untwisting of the knot, appendectomy | Uneventful recovery, discharged on day 4. |
| Idowu NA et al. (2024) [3] | 72 | Male | Colicky abdominal pain, nausea, vomiting, constipation, and fever over 4 days. | Appendico-ileal knotting with gangrenous appendix and terminal ileum. | Limited right hemicolectomy and ileo-colonic anastomosis. | Discharged on postoperative day 10. |
| Kifle T et al (2018) [4] | 46 | female | Acute abdomen with severe pain, bilious vomiting, and constipation for 7 days. | Confirmed appendiceal knotting with apperndicular mucocele causing SBO. | Laparotomy with untwisting of the knot, followed by appendectomy. | Recovered well.and discharged on the 5th post op date |
| Kabuye U et al. (2024) [5] | 28 | female | Abdominal pain, vomiting, and constipation. Initial diagnosis was SBO from an intestinal band. | Appendix entangled around the terminal ileum, causing a closed-loop obstruction. The appendix was gangrenous, but the ileum was viable. | Retrograde appendectomy after releasing the knot. | Uneventful recovery, discharged on day 4. |
| Zewdu D et al. (2022)[6] | 34 | male | SBO symptoms | Ileoappendicular knotting | Appendectomy,with resection of gangrenous bowel | Full recovery, though experienced post-op diarrhea. |
| Kassahun B et al. (2025)[7] | 28 | male | Progressive lower abdominal pain, nausea, anorexia, and bilious vomiting for 2 days. | Gangrenous 20 cm appendix tightly encircling 1 m of gangrenous distal ileum. | Untwisting of the knot, appendectomy, resection of the gangrenous ileum, and end-to-side ileo-transverse anastomosis. | Uneventful recovery, discharged on postoperative day 6. |
| Klein et al. (2024)[8] | 80 | Female | Small bowel obstruction sign and symptom of 1 day duration | Appendicular knot of healthy appendex,obstructing the small bowel as closed loop obstruction | appendectomy | Discharged well |
| Alemu et al. (2023)[9] | 50 | Female | Abdominal pain, vomiting, abdominal distension. | Appendicoileal knotting with gangrenous ileum and appendix mucocele | Bowel and appendix resection with ileotransverse anastomosis | Discharged on the 7th post-operative date |
| Lin, Tso-Lin et al. (2017)[10] | 4 | male | Vomiting,abdominal pain | Inflamed appendex causing appendiculoileal band knot | appendectomy | Discharged uneventfully |
*Summarized tables of few case reports of appendicoileal knotting

Figure 1: Intraoperative Finding of Appendicoieal Knotting Revealing Appendix Rapped Around the Distal Ileal Segment
Tables at a glance
Figures at a glance