The Ileosigmoid Knot: A Case Report

Adili W, Mutua JM, Nanabhai BM

Kitui District Hospital

Correspondence to: Dr. Wobenjo Adili P O Box 2225-00202 KNH Nairobi, Email:


Ileosigmoid knotting (ISK) is an uncommon cause of acute intestinal obstruction where the ileum wraps around the base of the sigmoid colon. Seen with higher frequency in Africa, the condition rapidly progresses to gangrene of the ileum and sigmoid colon. Preoperative diagnosis is not easy partly due to the unfamiliarity of this entity and the confusing and contradictory features of the disease. Awareness of the condition is essential for prompt diagnosis and optimal management.

Key  Words:  Ileosigmoid  knotting,  Intestinal obstruction



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