Abstract:
A case of an ileo-sigmoid knot which presented with a sudden onset of colicky abdominal
pains. is presented. Unlike a sigmoid volvulus,
the abdomen was moderately distended and
the pain became continuous and increased
in intensity. This is a condition whereby the
ileum is twisted along its own axis and encircled
by the sigmoid colon. It occurs predominantly
in males patients and predisposing
factors could be due to nutritional conditions
and tribal tendencies. It is difficult to recognise
it clinically and at operation, the surgeon
may be able to identify it if the gut is not
destroyed. The ileum is mostly gangrenous
and demands resection and a continuous or
an ileo-colic anastomosis.