Ileosigmoid knotting

Abstract

Ileosigmoid knotting (" ISK ") is a rare cause ofintestinal obstruction. it is related to volvulus of the sigmoid colon and is mainly seen in geographic localizations where volvulus is common. The ileum twists around the base of the sigmoid and both loops are often gangrenous. These patients are usually in poorer general condition. Unfamiliarity with the condition may have disastrous consequences atsurgical management. The aim ofthis case report showing thefull-blown clinicalfeatures of ISK is to discuss the diagnostic and therapeutic challenges in this specialfonn ofbowel volvulus. Vigorous critical çare and prompt individualized surgical treatment may improve the survival rate.