Abstract.
A 1-year 7-month-old boy presented with sudden onset of severe vomiting and abdominal pain. Barium enema revealed the caecum was elevated by a mass and the ileocaecal junction was visualised with a very short segment of terminal ileum showing a 'bird's-beak' appearance. At surgery, an unusually long necrotic appendix knotting the terminal ileum resulted in strangulation of a segment of the terminal ileum. There was no evidence of torsion of the terminal ileum or appendix. To our knowledge, this is the first case of the appendix knotting the terminal ileum resulting in a strangulated closed-loop obstruction.
Similar content being viewed by others
Author information
Authors and Affiliations
Additional information
Electronic Publication
Rights and permissions
About this article
Cite this article
Yang, A.D., Lee, CH. Appendico-ileal knotting resulting in closed-loop obstruction in a child. Ped Radiol 32, 879–881 (2002). https://doi.org/10.1007/s00247-002-0723-6
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s00247-002-0723-6