Abstract

Introduction: Ileosigmoidal knotting (ISK) is the wrapping of the ileum around the sigmoid colon and its mesentery or vice-versa and is a rare cause of intestinal obstruction in immediate postpartum.
Observation: We report a case of ileo-sigmoid volvulus with intestinal necrosis; in which the diagnosis of the ISK was only made during surgical exploration.
The treatment consisted in resection of gangrenous small bowel and performed small bowel anastomosis with sigmoidopexy and the postoperative course was uneventful.
Through this case, we would like to discuss the diagnostic, therapeutic and prognostic aspects of this rare entity with a literature review.
Conclusion: The rapid progression to intestinal necrosis of this type of postpartum occlusion is responsible for high maternal-fetal mortality, which requires rapid and adequate surgical management.

Key words: Intestinal obstruction, Ileosigmoid knotting, intestinal necrosis, post-partum