Caecal volvulus is the second most common site of colonic volvulus after the sigmoid colon and before the transverse colon. It usually occurs in patients with an abnormally mobile caecum, and its mechanism involves torsion or tilting. Clinically, it presents as an acute intestinal obstruction due to strangulation. Abdominal X-ray and abdominal CT scan are the diagnostic modalities of choice. Treatment consists of emergency surgery with resection of the caecum and terminal ileum. We reportin our study the case of a 45-year-old female admitted to the emergency department with acute intestinal obstruction. The diagnosis of caecal volvulus was confirmed by abdomino-pelvic CT scan. The patient underwent right hemicolectomy with ileocolostomy. Postoperative recovery was with no complications.