A 4-year-old Caucasian male child of Turkish nationality was admitted to the emergency department with abdominal pain and biliary vomiting for three days. Physical examination revealed abdomen tenderness and rigidity. X-ray showed air-fluid levels indicative of intestinal obstruction. USG demonstrated masses in the intestinal lumen. Parallel paired lines like 'railway track' and 'bull's eye' sign were seen on USG (Figure 1). At laparotomy, he had necrosis of ileal part of approximately 20 cm. The necrosis parts were resected and evacuated the two Ascaris masses. Primary end-to-end anastomosis was performed. Patient was discharged 7th day postoperatively without complication.