Ileosigmoid knotting in early pregnancy: A case report

Aspect Jacob Vengani Maunganidze; Simbarashe Gift Mungazi; Maphios Siamuchembu; Makhosini Mlotshwa

doi:10.1016/j.ijscr.2016.03.022

Ileosigmoid knotting in early pregnancy: A case report

Int J Surg Case Rep. 2016:23:20-2. doi: 10.1016/j.ijscr.2016.03.022. Epub 2016 Apr 5.

Authors

Aspect Jacob Vengani Maunganidze¹, Simbarashe Gift Mungazi², Maphios Siamuchembu², Makhosini Mlotshwa³

Affiliations

¹ Department of Surgery, College of Health Sciences, University of Zimbabwe, Box, A167 Avondale, Harare, Zimbabwe.
² 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.
³ Colorectal Surgery, Western Sussex Hospitals NHS Trust, Chichester PO19 6SE, UK. Electronic address: makhosini.mlotshwa@wsht.nhs.uk.

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.

Keywords: Acute abdomen; Hartmann's procedure; Ileosigmoid knotting; Intestinal obstruction; Intestinal obstruction in pregnancy.