title: Ileosigmoid knotting in early pregnancy: A case report.
abstract: Ileosigmoid knotting refers to the wrapping of the ileum around the base of the sigmoid colon, or vice versa thus forming a knot. It is a rare cause of intestinal obstruction, more so in pregnancy. We herein report a case of a primigravid woman who presented with an acute abdomen at 13weeks of gestation. The patient underwent emergency surgery. Laparotomy showed ileosigmoid knotting with gangrenous loops of both small bowel and sigmoid colon. The gangrenous bowel was resected. Primary anastomosis of small bowel and a Hartman's procedure was performed.
authors.affiliation: Department of Surgery, College of Health Sciences, University of Zimbabwe, Box, A167 Avondale, Harare, Zimbabwe.
authors.forename: Aspect Jacob Vengani
authors.initials: AJ
authors.lastname: Maunganidze
authors.affiliation: Department of Surgery, College of Health Sciences, University of Zimbabwe, Box, A167 Avondale, Harare, Zimbabwe; Colorectal Surgery, Western Sussex Hospitals NHS Trust, Chichester PO19 6SE, UK.
authors.forename: Simbarashe Gift
authors.initials: SG
authors.lastname: Mungazi
authors.affiliation: Department of Surgery, College of Health Sciences, University of Zimbabwe, Box, A167 Avondale, Harare, Zimbabwe; Colorectal Surgery, Western Sussex Hospitals NHS Trust, Chichester PO19 6SE, UK.
authors.forename: Maphios
authors.initials: M
authors.lastname: Siamuchembu
authors.affiliation: Colorectal Surgery, Western Sussex Hospitals NHS Trust, Chichester PO19 6SE, UK. Electronic address: makhosini.mlotshwa@wsht.nhs.uk.
authors.forename: Makhosini
authors.initials: M
authors.lastname: Mlotshwa
keywords: Acute abdomen; Hartmann's procedure; Ileosigmoid knotting; Intestinal obstruction; Intestinal obstruction in pregnancy