DOI: https://doi.org/10.36347/sasjs.2025.v11i04.008

Pages: 448-450

Sigmoid volvulus, a rare condition in adolescents, involves torsion of the sigmoid colon, leading to obstruction and potential complications. While it predominantly affects elderly males, we report in this case a 15-year-old girl with no prior medical history who presented with signs of intestinal obstruction. Clinical examination and abdominopelvic CT revealed significant colonic distension and sigmoid volvulus. Emergency surgical intervention, including sigmoid resection and colostomy, was performed, resulting in an uncomplicated recovery. This case highlights the importance of early diagnosis and surgical management in young patients to prevent severe outcomes like ischemia or perforation. Clinicians should maintain a high index of suspicion for sigmoid volvulus in atypical populations to ensure timely intervention.