A middle-aged person presented in the emergency department with abdominal distension, pain and vomiting. Most of the times the specialists frequently considers the routine point to ponder the scenario and underwhelmingly never reaches to a point to clinch the outcome. Here the imaging modality retains the upper hand to tackle the situation, it is beneficial to the consultants and highly benevolent to the poor soul presented with the ailment. It's the twist of the large bowel along it's mesentery. Usually the presenting age of the patients are above 50. In North America and Australia, 5%of population who are being presented with intestinal obstruction are due to volvulus. Clinical presentation has low specificity and diagnostic radiology will play a major role in clinching the diagnosis. Earlier scenario the mode of investigations include X-rays and Fluoroscopic studies, of course they had given numerous signs it would have helped to earn a diagnosis.
