Acute mechanical large bowel obstruction should be operated early because of the risk of -

• Virtually all patients with complete acute large bowel obstruction require prompt surgical intervention and should not undergo a trial of non-operative management • Acute large bowel obstruction in patients with competent ileocecal valve is a true surgical emergency because of high chances of perforation (MC site: Cecum)  • Once diagnosis has been made, surgical exploration should be undertaken as soon as possible after appropriate resuscitation