Ileosigmoid Knotting: An Unusual Cause of Acute Abdomen in Jalingo, Taraba State, Nigeria

Horace Ojobo Agada¹, Daniel Adams Marwa², Chucks Azubuike³, Mshelia Joseph Mwajim³, Kyantiki Peter Adamu³, Dahiru Ahmadu³

Keywords: Bowel obstruction, gangrene, ileosigmoid knotting, sigmoid volvulus

DOI: 10.63475/yjm.v5i1.0262

DOI URL: https://doi.org/10.63475/yjm.v5i1.0262

Publish Date: 25-03-2026

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Author Affiliation:

1 Consultant General Surgeon, Department of Surgery, Federal University Teaching Hospital, Lafia, Nasarawa State, Nigeria
2 Senior Registrar, Department of Surgery, Federal Medical Centre, Jalingo, Taraba State, Nigeria
3 Principal Medical Officer, Department of Surgery, Federal Medical Centre, Jalingo, Taraba State, Nigeria

Abstract

Ileosigmoid knotting, also known as compound volvulus, is a rare cause of bowel obstruction that is potentially life-threatening. It poses a significant diagnostic challenge due to its rarity as well as non-specific clinical and radiological characteristics. We present a 50-year-old man with clinical features that were consistent with strangulated bowel obstruction who had a laparotomy with intra-operative findings of a gangrenous ileosigmoid knotting. A twisted gangrenous terminal ileum around the base of a twisted gangrenous sigmoid colon was found. He had a right hemicolectomy and sigmoidectomy with a primary ileocolic and colo-colic anastomosis, respectively. This case highlights the need for a high index of suspicion, adequate resuscitation, and prompt surgical intervention to reduce the morbidity and mortality associated with this surgical disease.

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