Ileosigmoid knotting: an unusual cause of intestinal obstruction

ABSTRACT

Ileosigmoid knot is also known as compound volvulus or double volvulus. It consists of either an intertwining or a knot forming between a loop of ileum and sigmoid colon. This lead to a complex intestinal obstruction and may result in strangulation of one or both the segments of bowel loop. We report a case of pregnant woman who presented with acute abdominal pain. Following resuscitation she was operated and Ileosigmoid knotting was found. Loops of ileum and sigmoid colon were found gangrenous. Resection of ileal loop and stoma was fashioned while resection and anastomosis of sigmoid colon loop was performed. Recovery was uneventful