title: Ileosigmoid knot.
abstract: Ileosigmoid knotting, also known as compound volvulus or double Volvulus, is a rare cause of acute intestinal obstruction. In this condition the ileum wraps around the base of the sigmoid colon and forms a knot. The condition is serious, generally progressing rapidly to gangrene of both ileum and sigmoid colon. Ileosigmoid knotting is an unusual entity in the West, but is comparatively common in certain African, Asian and Middle Eastern nations. Awareness of the condition is essential for prompt diagnosis and optimal management. This article will focus on the etiopathogenesis, presentation, diagnostic modalities, surgical interventions and outcome with review of articles and case reports published till date.
authors.affiliation: Department of Surgical Gastroenterology, The Calcutta Medical Research Institute, Kolkata, India.
authors.forename: Ajay
authors.initials: A
authors.lastname: Mandal
authors.forename: Vivek
authors.initials: V
authors.lastname: Chandel
authors.forename: Sarfaraz
authors.initials: S
authors.lastname: Baig
keywords: Compound volvulus; Ileosigmoid knot; Intestinal obstruction
references.citation: Niger J Med. 2008 Jan-Mar;17(1):115-7
references.pmid: 18390148
references.citation: Indian J Surg. 2010 Apr;72(2):140-2
references.pmid: 23133227
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: Ann Saudi Med. 2009 Sep-Oct;29(5):402-6
references.pmid: 19700901
references.citation: Br J Surg. 1967 Jun;54(6):561-6
references.pmid: 6026331
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