Özet:

The study aims to present the diagnosis and treatment process of a case of sigmoid volvulus, incurable with colonoscopic detorsion, and requires surgical resection in a young patient. A twenty-seven-year-old man who was admitted with abdominal pain, distension, and nausea with vomiting. He had abdominal pain, defence, rebound at every quadrant, and abdominal distension on the physical examination of the abdomen. There was no stool contamination on the digital rectal examination. Only c-reactive protein level (CRP) (14.1 mg/L) was high in the laboratory. Computed tomography (CT) scan screened dilated colonic loops due to sigmoid volvulus. Since detorsion was not successful with colonoscopy, emergency surgery was operated on the patient. On exploration, there was a 7200 torsion on the upper side of the sigmoid; all colonic loops were extremely dilated up to 10 centimeters. Total colectomy with end ileostomy was performed, and the patient was discharged on the fourth postoperative day without complications.

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