European Journal of Biomedical and Pharmaceutical Sciences

COMPOUND VOLVULUS: A CASE REPORT AND LITERATURE REVIEW

Bhawani Khanal*, Rakesh Kumar Gupta, Upama Sharma and Vikas Adil

ABSTRACT

Ileo-sigmoid knot, also known as compound volvulus, is an unusual and rare cause of intestinal obstruction, which involves twisting of the loops of ileum around the base of sigmoid colon or vice versa. We are reporting a case of ileo-sigmoid knot in a 55 year old male who presented in our emergency with features of intestinal obstruction. On exploration after initial resuscitation, gangrenous terminal ileum along with dilated and gangrenous sigmoid colon was found intra-operatively for which sigmoid resection with colo-colic anastomosis and resection of gangrenous ileum with double barrel ileostomy was done.

Keywords: Ileo-sigmoid knot (ISK), volvulus.