Asian Journal of Case Reports in Surgery

Sigmoid volvulus is a surgical emergency and is generally a disease of elderly males with a history of constipation. Meckel’s diverticulum is a rare, incidental finding but can sometimes be symptomatic. The combination of sigmoid volvulus and Meckel’s diverticulum in the same patient is a rare encounter with an estimated incidence of around 1 in 2.5 million. We present a case of sigmoid volvulus in a 32-year-old male, with symptoms of obstruction such as non-passage of flatus and stools, multiple episodes of vomiting and persisting severe abdominal pain and distension. He was diagnosed as case of sigmoid volvulus on Abdominal X Ray and CT scan. He was treated by exploratory laparotomy with resection and anastomosis of Sigmoid Colon. Meckel’s diverticulum was an incidental finding during laparotomy and was also resected. This case report underscores the importance of thorough intraoperative assessment as incidental findings like Meckel’s may have potential clinical implications if left untreated.