title: Ileosigmoid knot - A Surgeon's Nightmare.
abstract: Ileosigmoid knot, also known as compound volvulus, is an unusual and a rare cause of intestinal obstruction. We are reporting a case of ileosigmoid knot in a 30-year-old male, who presented with lower abdominal pain. On examination, there was tenderness in the suprapubic area and later, the patient developed features of peritonitis. Exploratory laparotomy revealed a large volume of haemorrhagic fluid with gangrenous sigmoid colon, distended and gangrenous ileum twisted round the base of the sigmoid loop. Gangrenous portion of the ileum and sigmoid colon was resected and end to end anastomosis with Hartmann's procedure was done.
authors.affiliation: Final year PGT, Regional Institute of Medical Sciences(RIMS) , Imphal, India .
authors.forename: Sujit M
authors.initials: SM
authors.lastname: Chakma
authors.affiliation: Final year PGT, Regional Institute of Medical sciences(RIMS) , Imphal, India .
authors.forename: Rahul L
authors.initials: RL
authors.lastname: Singh
authors.affiliation: Final year PGT, Regional Institute of Medical Sciences(RIMS) , Imphal, India .
authors.forename: Mahadev V
authors.initials: MV
authors.lastname: Parmekar
authors.affiliation: Senior Registrar, Regional Institute of Medical Sciences(RIMS) , Imphal, India .
authors.forename: K H Gojen
authors.initials: KH
authors.lastname: Singh
authors.affiliation: Final year PGT, Regional Institute of Medical Sciences(RIMS) , Imphal, India .
authors.forename: Santhosh
authors.initials: S
authors.lastname: Rudrappa
keywords: Gangrenous sigmoid colon and ileum; Hartmann’s procedure; Ileosigmoid knot