alexa Atypical Presentation of Ileo-Sigmoid Knot: A Rare Case
[Jurnalul de Chirurgie]
ISSN: 1584-9341

Journal of Surgery
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Case Report

Atypical Presentation of Ileo-Sigmoid Knot: A Rare Case

Narasimha Reddy G1, Raja Sekhar G1, Jawed Akther Md2* and Shameem Unnisa Shaik1

1Resident of Surgery, Department of General Surgery, Mamata Medical College, India

2Professor of Surgery, Department of General Surgery, Mamata Medical College, India

*Corresponding Author:
Md. Jawed Akther
Department of General Surgery
Penna Apartment, Flat – 102
Mamata General Hospital Campus, Mamata Medical
College, Khammam, Telangana, India, 507002,
Tel: +91-8106032104;
E-mail: [email protected]

Received Date: August 05, 2015; Accepted Date: September 24, 2015 Published Date: October 02, 2015

Citation: Narasimha Reddy G, Raja Sekhar G, Jawed Akther Md, Shaik SU. Atypical Presentation of Ileo-Sigmoid Knot: A Rare Case. Journal of Surgery [Jurnalul de chirurgie]. 2015; 11(4): 151-152 DOI: 10.7438/1584-9341-11-4-6

Copyright: © 2015 Narasimha Reddy G, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Ileosigmoid knot, also known as compound volvulus, is an unusual and a rare cause of intestinal obstruction. We are reporting a case of ileosigmoid knot in a 25-year-old male, who presented with features of acute intestinal obstruction, peritonitis and hypovolemic shock. On immediate exploration after resuscitation, we found minimal haemorrhagic intraperitoneal fluid and gangrenous total colon, gangrenous distal ileal loop twisted around the base of the gangrenous sigmoid loop. Total colectomy with distal ilectomy (50 cms), Hartmann’s procedure with end ileostomy was done. After 3 months we performed ileorectal anastomosis.


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