Abstract
The ileosigmoid knot, also known as double volvulus, is a surgical emergency characterized by a double obstruction of the small intestine and sigmoid colon, Our patient have 62-year-old, chronic smoker, operated on at age 30 for ulcer perforation peritonitis and pyloric stenosis. Admitted to the emergency department with intestinal obstruction evolving for 3 days prior to admission, vomiting and generalized abdominal pain. Abdominal examination revealed generalized abdominal distension and defense. CT, distension of the colonic frame measuring 64mm at the coecum, producing the coffee-bean sign, with distension of some distal ileal loops measuring 33mm at the ileum, and a transitional level located at the pelvic level, producing the double-beak sign with visualization of the whirlpool sign, aeromesenteria and copious peritoneal effusion, the main treatment is a surgical intervention usually involves bowel resection with or without primary anastomosis.
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