yemenjmedYemen Journal of MedicinecoVolume 5 Issue 1MultidisciplinaryEnglishJanuary- April 2026NNY20260325ArticleIleosigmoid Knotting: An Unusual Cause of Acute Abdomen in Jalingo, Taraba State, NigeriaEnglishY00Horace OjoboAgada1EnglishNDaniel AdamsMarwa2EnglishYChucksAzubuike3EnglishYMshelia JosephMwajim3EnglishYKyantiki PeterAdamu3EnglishYDahiruAhmadu3EnglishY10.63475/yjm.v5i1.0262Ileosigmoid 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.EnglishBowel obstruction, gangrene, ileosigmoid knotting, sigmoid volvulushttps://www.yemenjmed.com/admin/abstract?id=343References1619