The acute abdomen is still a challenge for all physicians who are into care of women in pregnancy. Despite all the advancements in medical technology, preoperative diagnosis of acute abdominal conditions is still inaccurate. The most frequent causes of intestinal obstruction are: Closed loop obstruction, Congenital bands, Internal herniation, Volvulus, and invagination. A 22- year-old female primigravida, with persistent pain abdomen, vomiting and abdominal distension with hyperperistaltic bowel sounds with USG and MRI showing intestinal obstruction underwent laparotomy. The presentation, evaluation and management of our case and literature review of similar case are discussed here.

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