Open AccessIleosigmoid knot – A Surgeon’s Nightmare
Author(s) -
Sujit M Chakma,
Rahul L Singh,
Mahadev V Parmekar,
Singh Kk,
Santhosh Rudrappa
Publication year - 2013
Publication title -
journal of clinical and diagnostic research
Language(s) - Uncategorized
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2013/5758.3819
Subject(s) - medicine , exploratory laparotomy , sigmoid colon , surgery , laparotomy , sigmoid volvulus , anastomosis , ileum , abdominal pain , general surgery , rectum
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 30-year-old male, who presented with lower abdominal pain. On examination, there was tenderness in the suprapubic area and later, the patient developed features of peritonitis. Exploratory laparotomy revealed a large volume of haemorrhagic fluid with gangrenous sigmoid colon, distended and gangrenous ileum twisted round the base of the sigmoid loop. Gangrenous portion of the ileum and sigmoid colon was resected and end to end anastomosis with Hartmann's procedure was done.