Ileosigmoid knotting in a 6-year-old child

Ileosigmoid knotting occurs when the ileum wraps around the base of an elon gated sigmoid colon, thus producing two closed-loop obstructions with the p ossibility of ischemia and necrosis of either the ileum or sigmoid colon. I t occurs more commonly in African, Asian, and Middle Eastern countries, alt hough there have been three Americans previously reported with this problem . The 6-year-old child presented here is the youngest person ever reported with ileosigmoid knotting.