Sigmoid volvulus is the most common form of volvulus of the gastrointestinal tract; it is responsible for 8% of all intestinal obstructions. Sigmoid volvulus is particularly common in elderly persons. Patients present with abdominal pain, distention, and absolute constipation.Predisposing factors to sigmoid volvulus include chronic constipation, megacolon. Plain abdominal radiograph findings are usually diagnostic .