 Hello everyone, the topic of my paper is, I am an IELL valvularist, an unusual person in elderly, presented by my self-doctor, Dr. Akshud Malpache, and with the guidance of Dr. Ankita Agawal M.M. from the Department of Video Technosis, Varnan Mahavi Berizal College of Surgeon Hospital, New Delhi. Now, small-ball valvularists, especially IELL valvularists, is an uncommon cause of acute epidemics which results in partial and complete small-ball obstruction. Only few case reports have described this entity. It can be ivory, usually occurs in children or second in elderly because of underlying condition. Why this is important because this requires prompt management and has to be intervened surgically. Surgical methods may differ depending on duration of illness and a ball of gangrene has set in. Now, IELL valvularists are illustrated the emerging findings of IELL valvularists in an elderly with acute epidermal presentation. Now, methods and methodology, a 65-year-old maid presented with progressively increasing abdominal distention accused in obstinance vomiting and obstination for two days. A plain radiograph showed multiple types of small-ball valvularists were seen with no gas and rectum or distal ball loop. The patient underwent CECT abdomen contrast non-CT abdomen for the evaluation. Now, the results, the imaging findings were, the CECT abdomen showed in the coronal limiters, as you can see, that their depicted dilated small ball lobes, just shown by the green arrow, the epidermal transition of distal IELL loop that is this, and twisting of the misentry along with access given the classical whirlpool sign, as you can see with the red arrow. So, this is a very important sign which we picked up in this imaging. Now, coming on to the discussion part, now, valvularists is defined as twisting of a part or segment of ball loop around its misentry, causing partial or complete obstruction of the involved ball loop and compromising its vascular supply. This commonly seen in Cologne and Ilium is an uncommon segment to be involved. IELL valvularists carry primary, which is usually seen in children, and there is no underlying lesion predisposing to torture, or it can be scalded, seen in elderly population, and this underlying lesion, like mucous diverticulum, gliomaomas of misentry, post-operative adhesive bands, acetic infection and meridiansis. Now, why our case was unique? Because it was timely IELL valvularists in an elderly patient, as no underlying cause could be found during obstructive procedure. Now, the whirlpool sign which we saw in the images is a characteristic city center valvularist with a sensitivity of up to 85-80%. The twist to the side of torture can cause possibly secondary compression with ischemia ball loops causing a triangular configuration of ball loops on the CT scan. To leave the obstruction of ischemia, re-establishing a vascular supply to the affected ball loop is the goal of emergency searching. Now, if the necrosis is set in, then the section needs to be done. However, if not, primary valvularists timely measure the simple derotation without the outfitting of the involved ball. Now, it is essential to recognize this early so as to initiate early treatment with good results. Thank you very much. These are my references.