Small bowel obstruction is seen commonly in routine clinical practice. Despite of having advanced imaging facilities and better knowledge about small bowel pathophysiology, small bowel obstruction is either misinterpreted or diagnosed late.Algorithmic approach is needed for management for small bowel obstruction. Imaging techniques vary depending on whether it is low grade or high-grade obstruction. Enteroclysis and computed tomography enteroclysis are preferred in low grade obstruction, whereas ultrasonography or multidetector computed tomography is preferred in high grade to exclude strangulation. Radiologists has an important role in decision making that affects management[1].Computed tomography is the most appropriate and accurate diagnostic imaging modality for suspected bowel obstruction. Accuracy of multidetector computed tomography for diagnosing small bowel obstruction is 95 % with sensitivity 92-94% and specificity of 96%.