AbstractRare causes of intestinal obstruction include intussusception, volvulus, knotting and internal herniations. This
is an elderly female patient presented to us on 7th day of intestinal obstruction with only abdominal distension and
vomiting and no peritonitis. This is found to be an ileoileal knotting without adhesions or loaded mass. Ileoileal
knotting is a rare condition and ileosigmoid is more common. We are presenting the radiological findings and per
operative findings of this case because of its rarity.