Asian Journal of Case Reports in Surgery

The Ileosigmoid Knot as a Rare Cause of Intestinal Occlusion: Report of Two Cases

Fatimazahra Bensardi

Visceral Surgical Emergency Department, Ibn Rochd University Hospital, Casablanca, Morocco.

Bassam Daif *

Visceral Surgical Emergency Department, Ibn Rochd University Hospital, Casablanca, Morocco.

Ahmed Ballati

Visceral Surgical Emergency Department, Ibn Rochd University Hospital, Casablanca, Morocco.

Mohamed Ouchane

Visceral Surgical Emergency Department, Ibn Rochd University Hospital, Casablanca, Morocco.

Othmane Elyamine

Visceral Surgical Emergency Department, Ibn Rochd University Hospital, Casablanca, Morocco.

Mounir Bouali

Visceral Surgical Emergency Department, Ibn Rochd University Hospital, Casablanca, Morocco.

Abdelilah Elbakouri

Visceral Surgical Emergency Department, Ibn Rochd University Hospital, Casablanca, Morocco.

Khalid Elhattabi

Visceral Surgical Emergency Department, Ibn Rochd University Hospital, Casablanca, Morocco.

Abdelaziz Fadil

Visceral Surgical Emergency Department, Ibn Rochd University Hospital, Casablanca, Morocco.

*Author to whom correspondence should be addressed.

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Abstract

The ileo-sigmoid knot is a rare cause of intestinal obstruction, which usually requires emergency life-saving surgery. In this condition the ileum and sigmoid colon are twisted around each other in a knot, causing strangulation. We here report 2 cases with ileo-sigmoid knot. In both cases, the diagnosis was only made intraoperatively. Resection and colostomy were made, with the latter closed later. Both showed good prognoses. Physicians should be aware that ileo-sigmoid knot may be hidden behind intestinal obstruction.

Keywords: Ileo-sigmoid node, intestinal occlusion, necrosis.

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