ILEOSIGMOID KNOTTING

PURPOSE: To study the presentation, management, and outcome of patients with ileosigmoid knotting admitted to a district general hospital in an area of relatively high incidence. METHODS: A retrospective study of 15 patients treated for ileosigmoid knotting at Holy Family Hospital, Berekum, Ghana, during the period 1984 to 1990 inclusive. RESULTS: The overall mortality was 47 percent and did not differ between those with viable bowel and those with gangrenous bowel There appeared to be a significant risk of recurrent volvulus in patients who did not undergo resection at initial presentation. CONCLUSION: Ileosigmoid knotting carries a significant risk of mortality, and sigmoid resection should be considered for all patients with this unusual condition.