Sigmoid volvulus refers to the torsion of the sigmoid colon around its mesentery, leading to partial or complete intestinal obstruction. Clinical manifestations typically include cessation of gas and stool passage, abdominal cramping pain, nausea, and vomiting, characteristic of intestinal obstruction. The sigmoid colon is the most common site of intestinal volvulus, accounting for approximately 90% of cases, followed by the cecum, with rare occurrences in the transverse colon and splenic flexure. Sigmoid volvulus is associated with colonic redundancy, and its incidence in individuals over 60 years old is 20 times higher than in younger populations, making it a common cause of intestinal obstruction in elderly patients. It is also observed in patients with neurological conditions such as paralysis, Parkinson's disease, and Chagas disease. Chronic constipation is an additional significant contributing factor to its development.