Ileosigmoid knot during pregnancy: unusual cause of intestinal obstruction

Abstract

Ileosigmoid knotting also known as compound volvulus or double volvulus, is a rare cause of intestinal obstruction. In this condition the ileum wraps around the base of the sigmoid colon and forms a knot, the condition is serious, generally progressing rapidly to gangrene. The occurrence during pregnancy is very rare and the diagnosis is difficult because of its infrequency and atypical radiographic findings. This report describes a case in a 23-year-old female and through a literature review describes the management of this rare condition.. .because better understanding of the problem, increases probabilities of preoperative diagnosis and improves the prognosis.

Keywords

• sigmoid
• volvulus
• ileosigmoid knot
• pregnant
• bowel
• obstruction