2021 Volume 41 Issue 3 Pages 187-190
A 7-year-old Filipino girl presented to our hospital with abdominal pain. Physical examination revealed localized periumbilical tenderness. Contrast-enhanced computed tomography revealed extensive dilatation of the small intestine, with poor enhancement, a positive whirl sign, a closed loop, and massive ascites. We suspected strangulated intestinal obstruction and performed an emergency abdominal operation. Intraoperatively, two ileal loops were observed to be knotted together, and both loops were necrotic. We separated the anal side of the intestine, unknotted the ileal knot, and resected a long necrotic ileal segment（130cm）. The patient showed an uneventful postoperative clinical course, and was discharged on the 12th postoperative day. We report a rare pediatric case of an ileo-ileal knot.
