title: Ileosigmoid knot complicated by gastric and splenic mucormycosis: a lethal combination.
abstract: Two very rare conditions, ileosigmoid knot and intra-abdominal mucormycosis, occurred sequentially in a middle-aged HIV positive male.At laparotomy for peritonitis, a gangrenous sigmoid volvulus with ileosigmoid knot was resected; 2 days later, colo-rectal continuity was restored, the distal ileum stapled and an end jejunostomy fashioned.At re-laparotomy on day 15, necrotic stomach and spleen required a total gastrectomy and splenectomy. At reoperation 2 days later, a bile leak at the oesophago-jejunostomy site was repaired. Despite this intervention he continued to deteriorate and died of multiple organ failure 4 days later.
authors.affiliation: Edendale Hospital, Surgery, PO Box 1307, Hilton, 3245, South Africa.
authors.forename: Jahangirul
authors.initials: J
authors.lastname: Islam
authors.forename: Sandy R
authors.initials: SR
authors.lastname: Thomson
authors.forename: Glynn
authors.initials: G
authors.lastname: Tudor
authors.forename: Zafar
authors.initials: Z
authors.lastname: Khan
authors.forename: Monde
authors.initials: M
authors.lastname: Mjoli