title: Ileosigmoid knot: a case report and literature review of 280 cases.
abstract: Ileosigmoid knotting, also known as compound volvulus or double volvulus, is a rare cause of intestinal obstruction. In this condition the ileum wraps around the base of the sigmoid colon and forms a knot. Ileosigmoid knotting is an unusual entity in the West, but is comparatively common in certain African, Asian and Middle Eastern nations. The condition is serious, generally progressing rapidly to gangrene. Awareness of the condition is essential for prompt diagnosis and optimal management. This report describes a case in a 60-year-old male and describes the management of this rare condition. An additional 280 recent cases in the English literature are reviewed as to etiopathogenesis, presentation, diagnostic modalities, surgical interventions and outcome.
authors.affiliation: Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman. oneilnorman@gmail.com
authors.forename: Norman O
authors.initials: NO
authors.lastname: Machado
mesh_terms: D005734:Gangrene / Q000209:etiology; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D045822:Intestinal Volvulus / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012810:Sigmoid Diseases / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*
references.citation: Niger J Med. 2008 Jan-Mar;17(1):115-7
references.pmid: 18390148
references.citation: Br J Surg. 1967 Jun;54(6):561-6
references.pmid: 6026331
references.citation: Br J Surg. 1997 May;84(5):672-3
references.pmid: 9171761
references.citation: Abdom Imaging. 2005 Nov-Dec;30(6):674-6
references.pmid: 15834675
references.citation: Aust N Z J Surg. 1992 May;62(5):402-4
references.pmid: 1575664
references.citation: Dis Colon Rectum. 2001 Aug;44(8):1196-200
references.pmid: 11535862
references.citation: Hepatogastroenterology. 2004 May-Jun;51(57):771-3
references.pmid: 15143913
references.citation: Dis Colon Rectum. 1993 Dec;36(12):1139-47
references.pmid: 8253011
references.citation: Dis Colon Rectum. 1991 Feb;34(2):161-6
references.pmid: 1993413
references.citation: Dis Colon Rectum. 2004 Jun;47(6):906-10
references.pmid: 15129310
references.citation: Gastroenterol Clin Biol. 2006 Dec;30(12):1414-6
references.pmid: 17211345
references.citation: Aust N Z J Surg. 1981 Oct;51(5):456-8
references.pmid: 6947787
references.citation: World J Surg. 2007 Jan;31(1):31-5
references.pmid: 17171493
references.citation: ANZ J Surg. 2004 Mar;74(3):184-6
references.pmid: 14996180