Primary small intestinal volvulus is one of the common causes of intes
tinal obstruction in various localities of the developing world. Altho
ugh the general principles of management of intestinal obstruction app
ly to it, its diagnosis is dependent on a clinical exclusion of other
causes of intestinal obstruction with overt features, and awareness of
patterns of obstruction in a given locality. Moreover, in nearly all
the cases early operation is recommended for a confirmation of the dia
gnosis and relief of the obstruction. However, lacking the necessary p
recautions on operation, sometimes a relief of the obstruction without
a diagnostic confirmation may be the result.