A case of cecal volvulus is reported in which the diagnosis was made early and therapy was instituted quickly. Diagnosis in most cases can be made by consideration of characteristic clinical and roentgenologic features. Early diagnosis and operation are imperative if the mortality rate is to be held at an appropriate level. Although the mortality rate is still high, present day adjuncts to surgical management have reduced it to a much more desirable level. The advantages and disadvantages of cecopexy, cecostomy and resection have been summarized. Right hemicolectomy is becoming the treatment of choice and is supplanting the older and more conservative cecopexy and cecostomy.