Conclusion: The main complication of SBO is intestinal ischemia, computed tomography imaging is the modality of choice in this pathology because of its ability to assess the bowel wall, the supporting mesentery and peritoneal cavity all in one, signs of intestinal ischemia can be seen on computed tomography: abnormal enhancement of the intestinal wall, thickening of the intestinal wall that may increase density, signs of halo ring or target, localized fluid collection or bleeding in the mesentery, gas in the intestinal wall, portal vein in the late cases.