A 64-year-old man had previously undergone right nephrectomy, partial hepatectomy and right hemicolectomy, left nephrectomy, and surgery for appendicitis. He was examined at our hospital for abdominal pain and constipation and was admitted as an emergency with a diagnosis of postoperative adhesive ileus. After admission, an ileus tube was inserted, and the patient was treated conservatively, but this was ineffective in decompressing the intestine. Since small intestinal contrast injection via the ileus tube showed a barrier to the passage of the contrast agent, surgical treatment was performed on postadmission Day 13. When the abdomen was opened, the ileum exhibited a cicatricial stricture duet to strangulation by a cord-like structure composed of adhesions, and it was torn completely off on the distal side. This was considered to be the origin of the obstruction. There was no exposure of the mucosa of the torn portion and no peritoneal contamination by gastric fluid. The portion from the stenosis site to the torn potion was resected, and the ileum was reconstructed with an ileal-ileal functional end-to-end anastomosis. The patient's postoperative course was uneventful. It is extremely rare for strangulated intestine to cause ileus causing obstruction and tearing without accompanying necrosis and perforation. This case is reported together with a discussion of the literature.