A RARE CAUSE OF INTESTINAL OBSTRUCTION

INTRODUCTION Ileosigmoid knotting, is also known as compound volvulus or double volvulus. Ileosigmoid knotting is a rare cause of intestinal obstruction that rapidly progresses to gangrene of the ileum as well as the sigmoid colon. Preoperative diagnosis is difficult because of its infrequency and atypical radiographic findings. CASE REPORT We also will be discussing a case 70 years old gentleman who presented to casualty, Preoperatively a diagnosis of Intestinal obstruction with Peritonitis was made and opened. Intra operatively there was Dilated and gangrenous sigmoid colon with a twist volvulus Ileum which was also dilated and gangrenous. On further exploration, ileum was found to be twisted around the sigmoid colon to form a knot, Transverse colon was found to be pulled down. An INTRA OP DIAGNOSIS of Ileo s i g m o i d k n o t t i n g w a s made.CONCLUSION In ileosigmoid knotting there is closed loop obstruction of the small bowel, with rapid gangrene of the involved loops. Treatment of the ileosigmoid knotting is different from the sigmoid volvulus. More conservative management, such as endoscopic or hydrostatic reduction, often alleviates problems associated with a sigmoid volvulus, but not in ileosigmoid knotting.