Abstract
The ileosigmoid knot, although rare, represents a complex surgical emergency requiring rapid and precise man agement. Imaging, particularly computed tomography (CT), plays a crucial role in diagnosis by highlighting specific features such as the "spiral sign" and signs of necrosis. Early detection through these imaging modalities allows for prompt surgical intervention, minimizing the risks of severe complications associated with intestinal torsion. The speed of surgical intervention is crucial to prevent progression to ischemic necrosis, reduce the risks of intestinal perforation, peritonitis, and other serious complications. Various surgical modalities, such as colonic diversion, detorsion, segmental resection, or extended resection in case of necrosis, must be tailored to the clinical presentation and intraoperative findings. Ultimately, the combination of advanced radiological imaging and swift surgical intervention is the key to successful management of the ileosigmoid knot. Emphasizing awareness among healthcare professionals of this rare condition and educating patients to recognize symptoms promptly will contribute to the early and effective management of this infrequent surgical l emergency.
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