A RARE CAUSE OF INTESTINAL OBSTRUCTION

Abstract

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.