Ileo-ileal knotting is a closed-loop intestinal obstruction wherein one part of the ileum is static while the other forms a loop. As a result, a series of pathological events occur that lead to the rapid formation of gangrene with fatal consequences. The mortality rate due to this presentation is 50%, and it is more common among females.
Case presentation A 35-year-old-female comes to the emergency department with a complaint of colicky abdominal pain, bilious vomiting, progressive abdominal distention, and constipation for five days. Surgical history The patient has a history of four cesarean sections, the last one being four months ago. On Examination Intermittent painful distress Vitals: PR - 110/minute, BP - 100/70 mmHg, RR - 32/minute, temperature - 36.5 degrees Tongue and buccal mucosa: Dry Abdomen: Tender, distended, and guarded Bowel sounds: Absent Digital rectal examination:…
