Ileo-sigmoidian knot on a dolichosigmoid

The ileo-sigmoid knot is a double volvulus interesting the sigmoid and the small one, it evolves quickly towards the intestinal necrosis.
Presentation of Case: We report an emergency admitted case for intestinal obstruction in  our institute; and in which the diagnosis of ileo-sigmoid knot was only made peroperatively.
Discussion and Conclusion: Through this case and a review of the literature we will define the diagnostic, therapeutic and prognostic aspects of this rare clinical entity.