Ileosigmoid knotting: a rare case report with review of literature†.

Ileosigmoid knotting (ISK) is a rare cause of intestinal obstruction in which loops of ileum and sigmoid colon wrap around each other. It is very uncommon in western world when compared with the African and Asian region. It is rapidly a progressive, fatal disease. Early diagnosis and intervention is the key of better outcome. We are reporting a case of 51-year-old male who presented with shock within 24 h of onset of symptoms. Exploratory laparotomy revealed ISK causing gangrene of ileum and sigmoid colon. In view of haemodynamic unstability, end ileostomy was done after excising gangrenous segments. The patient expired after 2 weeks due to complications of short bowl syndrome. We are also tabulating all cases of ISK reported in the literature till date.