Acute abdomen refers to any clinical condition characterized by severe abdominal pain that develops over a period of hours. Rapid, accurate diagnosis is essential if morbidity and mortality are to be significantly decreased. Small bowel pathologies involve a large number and a wide variety of causes of acute abdomen e.g. Small bowel obstruction, gastrointestinal perforation and small bowel ischemia. Conventional radiography, ultrasonography (US), and helical computed tomography (CT) are frequently used in the diagnostic work-up of patients with acute abdominal pain. Magnetic resonance (MR) imaging is also available, but is used far less frequently for initial diagnostic work-up