ILEOSIGMOID KNOTTING

Ileosigmoid knotting (ISK) is a rare cause of intestinal 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 at surgical management. The aim of this case report showing the full-blown clinical features of ISK is to discuss the diagnostic and therapeutic challenges in this special form of bowel volvulus. Vigorous critical care and prompt individualized surgical treatment may improve the survival rate.