Ileosigmoid Knotting: An Unusual Cause of Intestinal Obstruction

Abstract

Ileosigmoid knot or double volvulus is an unusual cause of intestinal obstruction and presents as a surgical emergency. It affects m sigmoid loops producing obstruction and strangulation. Here old male presented with features of intestinal obstruction. Emergency laparotomy revealed ileosigmoid knotting with gangrene of involved segment. Resection of unviable portion with knot was done with double primary anastomosis and covering ileostomy.