High Mortality and Predictors of Death in Ileosigmoid Knotting: Insights from a Low-Resource Setting

Ileosigmoid knotting, a severe form of bowel obstruction, carries high mortality in low-resource settings. A retrospective cohort study at Jimma University Medical Center revealed a 27.5% death rate among 40 patients, with shock at presentation and comorbidities significantly impacting survival. Age and intra/postoperative pulse rates were also predictors of death. The study underscores the urgent need for improved management strategies for this life-threatening condition in resource-constrained environments.