Ileo-Sigmoid Knotting Rare Cause of Acute Intestinal Obstruction

Burkan Nasr,1 Yasser Hussein Al-Moharmy2 1Department of General Surgery, University of Aden, Aden, Yemen; 2Department of General Surgery, Tiaba Hospital, Lahj, YemenCorrespondence: Burkan Nasr, Department of General Surgery, University of Aden, Aden, Yemen, Email [email protected]: Ileo-sigmoid knotting (ISK) is a rare and potentially life-threatening condition that results in a double-loop intestinal obstruction involving the ileum and sigmoid colon. This case report delineates the clinical presentation of a female patient aged 38 years, who exhibited significant abdominal discomfort and distension, recurrent attacks of vomiting, and absolute constipation. Clinical and radiologic findings suggested bowel obstruction with signs of volvulus. Exploratory laparotomy confirmed type 1A ISK with gangrene of the distal ileum and a redundant sigmoid colon. Surgical intervention included resection terminal ileum with ileocecal anastomosis and sigmoidectomy and colorectal anastomosis. The patient recovered without complications. Timely identification of medical conditions and immediate implementation of surgical interventions are vital to a favorable prognosis.Keywords: ileo-sigmoid knotting, volvulus, intestinal obstruction, type I knot, emergency laparotomy