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Updated: Mar 22, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Ileosigmoid knotting in early pregnancy: A case report
Aspect Jacob Vengani Maunganidze1, Simbarashe Gift Mungazi2, Maphios Siamuchembu2
1Department of Surgery, College of Health Sciences, University of Zimbabwe, Box, A167 Avondale, Harare, Zimbabwe.
Abstract:
Ileosigmoid knotting refers to the wrapping of the ileum around the base of the sigmoid colon, or vice versa thus forming a knot. It is a rare cause of intestinal obstruction, more so in pregnancy. We herein report a case of a primigravid woman who presented with an acute abdomen at 13weeks of gestation. The patient underwent emergency surgery. Laparotomy showed ileosigmoid knotting with gangrenous loops of both small bowel and sigmoid colon. The gangrenous bowel was resected. Primary anastomosis of small bowel and a Hartman's procedure was performed.
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