East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
Vol. 22, No. 2, 2017, pp. 76-80
Bioline Code: js17026
Full paper language: English
Document type: Case Report
Document available free of charge
East and Central African Journal of Surgery, Vol. 22, No. 2, 2017, pp. 76-80
© Copyright 2017 - East and Central African Journal of Surgery
Ileosigmoid knotting in pregnancy: A case report from Zimbabwe|
Mlambo, Busisiwe R.; Mungazi, Simbarashe G. & Maunganidze, Aspect J.V.
Ileosigmoid knotting (ISK), also known as compound volvulus, is a rare cause of intestinal
obstruction wherein the ileum wraps around the base of the sigmoid colon and forms a knot
with rapid progression to gangrene. The worldwide incidence of ISK ranges from 1 in 1500
to 1 in 66,431. ISK is particularly rare in pregnancy, with the majority of cases occurring in
the third trimester. The preoperative diagnosis of ISK in pregnancy is challenging because
the condition is often mistaken for other obstructive or nonobstructive emergencies and
delayed because of concerns regarding imaging in pregnancy. We report a case of a gravid
woman presenting at 13 weeks’ gestation with features suggestive of intestinal obstruction
and who underwent an emergency laparotomy during which a diagnosis of ISK was made.
Her recovery was uneventful, and she was able to carry the pregnancy to term.
ileosigmoid knotting; pregnancy; intestinal obstruction