The bowel infarction is till affected by high mortality in spite of new diagnostic methods and therapy. In our experience was observed about 45 patients with bowel infarction by different etiology; fast diagnosis and thera py a re necessary for a good prognosis. The arteriography, at the light of thhis experience, is the gold standard but it is still performed in a low number of patients. The laparoscopy, in the advanced pathologies, is able to a void an ineffectual laparotomy and permits a better diagnosis in borderline cases.