IMPROVED OUTCOME IN A RARE VARIANT OF ILEOSIGMOID KNOTTING WITH EXTENSIVE BOWEL GANGRENE: A CASE REPORT

We report a rare variant (Type 2A) of ileosigmoid knotting presenting with features of peritonitis, and causing extensive small bowel gangrene with gangrene of sigmoid colon, leading to short bowel syndrome post operatively. The mortality rate reported in such cases is very high. These patients require combined oral and parenteral nutritional support. We report improved outcome in this case using the technique of enteroclysis feeding of distal loop, making the early closure of stoma possible.