The ileosigmoid knot

Abstract

Correct preoperative diagnosis of ileosigmoid knot is possible when clinical, radiologic, and sigmoidoscopic features are considered together. Unraveling of the knot seems to be beneficial in ileosigmoid knot except when both components of the knot are frankly gangrenous. Primary anastomosis (ileoileal and/or colocolic) of resected gut seems to be a safe and better alternative in the management of ileosigmoid knot.