Cecal volvulus, a rare cause of bowel obstruction, arises from incomplete intestinal fixation. Prompt surgical intervention is crucial, as delayed treatment increases the risk of bowel ischemia, perforation, and mortality. A woman in her early 60 s with chronic constipation presented with cramping abdominal pain, bilious vomiting, and abdominal distension. Contrast-enhanced CT (CECT) revealed a distended cecum with a “whirl sign.” Emergency laparotomy confirmed cecal torsion, managed with detorsion, limited right hemicolectomy, and ileocolic anastomosis.