Rare case of acute strangulated intestinal obstruction - ileo-ileal knotting

Abstract

Intestinal knot is a rare cause of closed loop obstruction. It originates with the wrapping of the mobile ileal loop compromising the mesentery in the center of knot and is an unusual cause of intestinal strangulation. Here we report a case of acute intestinal obstruction due to ileo-ileal knotting that was surgically managed by emergency laparotomy and resection of gangrenous segment and double barrel ileostomy. The main reported problem, it is very difficult to diagnose preoperatively. High index of suspicion and early surgical intervention greatly reduces morbidity and mortality.