Abstract
Ileosigmoid Knotting, Rare Cause of Intestinal Obstruction and Gangrene
Highlights
Ileosigmoid knotting (ISK) is a double loop intestinal obstruction, combination of ileal and sigmoid volvulus
Differential diagnosis could include sigmoid volvulus and it is of extreme importance to rule this diagnosis out as endoscopic reduction is contraindicated in ISK [2]
A 32-year-old, previously healthy, Tanzanian male presented to the emergency department of Hamad General Hospital in Qatar with generalized colicky abdominal pain, vomiting and absolute constipation for one day
Summary
Ileo-sigmoid knotting is a rare life threatening condition which presents as, and causes, bowel obstruction. It is defined as wrapping of the ileum around the sigmoid colon. It is difficult to diagnose preoperatively due to its rarity. It has high mortality; immediate surgical intervention is a mandatory. We describe here a young man who presented with sudden onset abdominal pain and distention. Patient’s workup showed elevated white cell count and lactic acid. CT (Computerized Tomography) scan showed bowel ischemia. Upon surgical exploration patient had ileo-sigmoid knotting (ISK). Gangrenous bowel was resected and primary anastomosis was done
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
