%0 Journal Article %T A unique surgical emergency: ileosigmoid knotting %A Bain, Kevin %A Lelchuk, Andrew %A Nicoara, Michael %A Meytes, Vadim %J AME Case Reports %D 2018 %B 2018 %9 %! A unique surgical emergency: ileosigmoid knotting %K %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. %U https://acr.amegroups.org/article/view/4500 %V 2 %P %@ 2523-1995