Abstract:
Background; Intestinal obstruction is a common cause of emergency surgical admission Several
common causes are known in the general surgical practice, and the causes are different in the
developing and developed world. One such cause is the Ileosigmoid knotting, which is associated
with a high morbidity and mortality. Early diagnosis and intervention are the key of better
outcome. Therefore, knowledge of clinical presentation, surgical management principal, factors
affecting outcome is important.
Objective; The aim of this study was to retrospectively review the clinic al presentation pattern,
management and outcome of pateint operated for ISK over period of five year in Jimma university
medical center, Jimma, Ethiopia.
Methodology; A Cross-sectional retrospective study was employed. Medical record review of all
pateintoperatedforIliosigmoidknottingatJUMConpateintfromeSeptember2016-
November2021was conducted.
Results -: A total of 47 patient charts were reviewed and the patients’ mean age was 41.8 years.
The male to female ratio was 3.3: Most of the patients, (68.1%) Presented after twenty-four
hours of symptom onset, with abdominal pain (91.5%), vomiting (74.5%), abdominal distention
(25.55) and failure to pass either feces or flatus (53.2%) being the most common symptoms
reported by patients. ISK was considered only in seven patients (14.9%) preoperatively. Most
patients (59.6%) had both segment gangrene and resection of gangrenous segments with
Ileostomy end colostomy was the commonest procedure performed. The mortality rate was 12.7.
Statistically Significant association was found between postoperative complications and
mortality.
Conclusion; ISK is an uncommon form of double-loop bowel obstruction. It generally presents
with symptoms and signs of mechanical bowel obstruction. High index of suspicion should be
maintained to early diagnose and avoid delays in management of these patients. The choice of
surgical procedure is determined by intraoperative finding
