Ileosigmoid knot as a cause of acute abdomen at 28 weeks of pregnancy: A rare case report

Ileosigmoid knot (ISK), also known as compound volvulus or double volvulus, is an unusual surgical emergency and is a rare condition leading to intestinal obstruction. ISK is an unusual phenomenon in the West but is relatively more common in some African, Asian, and Middle Eastern nations. This condition is serious, usually progressing rapidly to gangrene. Awareness of the condition is vital for the early diagnosis and optimal management of the patients. ISK should be considered in the differential diagnosis of patients presenting with ileus. In this report, we present a rare case of ISK in a 41-year-old, 28-week pregnant woman whose diagnosis was established intraoperatively.

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