lIeosigmoid Knot; A case report

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.