Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Obstet Gynecol. Sep 8, 2026; 15(2): 118869
Published online Sep 8, 2026. doi: 10.5317/wjog.118869
Published online Sep 8, 2026. doi: 10.5317/wjog.118869
Ileosigmoid knotting causing gangrenous bowel obstruction in a postpartal mother presented with septic shock: A case report and review of literature
Wondwosen Mengist Dereje, Department of Neurology, University of Gondar, Gondar 196, Ethiopia
Melkamu Lake Zegeye, Dawit Wulolgn, Melaku Tessema Kassie, Department of Surgery, University of Gondar, Gondar 196, Ethiopia
Bahran Afework Tamene, Department of Gynecology and Obstetrics, University of Gondar, Gondar 196, Ethiopia
Author contributions: Dereje WM contributed to data analysis, conceptualization and supervision; Kassie MT contributed to supervision; Dereje WM, Zegeye ML, Wulolgn D, Tamene BA, and Kassie MT contributed to manuscript writing and editing, data collection.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Wondwosen Mengist Dereje, MD, Department of Neurology, University of Gondar, Maraki Street, Gondar 196, Ethiopia. wondwosenmengist4@gmail.com
Received: January 13, 2026
Revised: February 14, 2026
Accepted: March 16, 2026
Published online: September 8, 2026
Processing time: 232 Days and 11.8 Hours
Revised: February 14, 2026
Accepted: March 16, 2026
Published online: September 8, 2026
Processing time: 232 Days and 11.8 Hours
Core Tip
Core Tip: Ileosigmoid knotting is a rare, life-threatening cause of intestinal obstruction, often presenting with nonspecific symptoms such as abdominal pain, distension, and vomiting. Diagnosis is challenging due to overlapping imaging features with sigmoid volvulus, and preoperative recognition is uncommon. Prompt aggressive resuscitation, correction of electrolyte and acid-base disturbances, and timely laparotomy are crucial. Surgical management depends on bowel viability, ranging from untwisting to en bloc resection with stoma formation. Early intervention, perioperative care, and close follow-up can significantly improve outcomes, even in patients presenting with shock and extensive bowel gangrene.