%0 Journal Article %T A unique surgical emergency: ileosigmoid knotting %A Andrew Lelchuk %A Kevin Bain %A Michael Nicoara %A Vadim Meytes %J Archive of "AME Case Reports". %D 2018 %R 10.21037/acr.2018.06.02 %X Ileosigmoid knot (ISK) is a rare cause of bowel obstruction that leads to gangrenous bowel necrosis. In this condition, the ileum and sigmoid colon wrap around each other, causing a knot and strangulation of both structures. ISK is extremely rare in North America; most cases are reported in Asia and Africa. Furthermore, ISK typically presents in adults in their fourth decade or older. Here we present the rare case of an ISK in a 14-year-old male %K Small intestine %K colon %K bowel obstruction %K general surgery %K pediatric surgery %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6155566/