Ileosigmoid Knot: Uncommon Cause of Intestinal Obstruction

Abstract

The ileosigmoid node is a rare cause of intestinal obstruction. Its ethiopathology remains poorly understood. The diagnostic approach is similar to that of occlusions in general but remains difficult, due to its rarity and clinical-radiological atypia. In the majority of cases the diagnosis is made intraoperatively. Hartmann colectomy should be preferred to ideal colectomy because of its high morbidity and mortality. The prognosis essentially depends on the time of admission, the general condition of the patient, the presence or absence of loop necrosis and the circumstances of the surgical intervention. We report the case of an occlusion with ileosigmoid node according to the experience of the hospital ibn tofail Marrakech.