DOI: 10.36347/sjmcr.2020.v08i02.027

Pages: 201-203

Ileosigmoid knotting is a rare cause of acute intestinal obstruction where the ileum wraps around the base of sigmoid colon and threatens the viability of both ileum and sigmoid colon. We had a case of 65 year old male who presented with symptoms of intestinal obstruction. His vitals were stable with no signs of peritonitis. Imaging showed intestinal obstruction with possibility of volvulus. Emergency laparotomy was done and there was gangrenous ileum wrapped around the gangrenous sigmoid colon. Gangrenous segments were resection and colorectal anastomosis and double barrel ileostomy were done. Our case is categorized as type I ileosigmoid knotting with no evidence of shock. Patient improved gradually and he was discharged on POD 10. As the condition was suspected early, active intervention was made which lead to better outcome in this patient. Ileosigmoid knotting should always be considered as differential diagnosis for acute intestinal obstruction in males.