Ileosigmoid Knotting in Grand Multipara Women during Labor, a Rare Occurrence

Ileo-sigmoid knotting (ISK) is one of the uncommon causes of bowel obstruction except in sigmoid volvulus belt countries where it is fairly common. Bowel obstruction during pregnancy is also uncommon; when it occurs it is mostly due to adhesions. Obstruction during labor is a very rare phenomenon. In this article we present a case of ISK diagnosed intra operatively in a grand-multipara mother thought to have a ruptured uterus. The diagnostic difficulty and the need to have prompt multidisciplinary care of ISK is discussed. Bowel obstruction needs to be considered in the differential diagnosis of laboring mothers considered to have a ruptured uterus.