INTRODUCTION Intestinal obstruction is a commonest surgical emergency faced by surgeon. It is defined as obstruction in forward propulsion of the contents of the intestine either due to dynamic , adynamic or pseudo-obstruction . It is predisposed by varying underlying anomalies and diseases, which are difficult to define pre-operatively except postoperative adhesions and external hernias. Early diagnosis with advance technology like CECT and proper operative Management during surgery and better postoperative treatment in intensive care unite carries a good result. MATERIAL AND METHOD Source : Patient presented in RIMS emergency form November 2018 to October 2019. Method : All patient of acute intestinal obstruction admitted in rims emergency, examined and investigated with proper consent. Investigation done according to proforma. CONCLUSION Acute intestinal obstruction is a major cause of mortality with adhesions being the most common cause. High quality surgical expertise with sound clinical judgment and early surgery intervention when needed will significantly improve survival.