Abstract:HighlightsThis is the first report of ileo-ileal fistula onset after strangulated ileus without intestinal resection.Furthermore, this fistula caused severe malnutrition duo to chronic inflammation and ulcer formation.After resecting the ileo-ileal fistula, the nutrition status was resolved immediately without any medications.When preserving the intestines in strangulated ileus, these fistulas should be considered.Since malnutrition in the elderly is a serious problem, it should be treated promptly.
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