Objective:

To communicate our experience in emergency surgical management of sigmoid volvulus.

Material and methods:

A retrospective and observational study of patients with sigmoid volvulus who underwent emergency surgery, from March 2016 to February 2019 was performed. Demographic, preoperative and postoperative variables were analyzed.

Results:

Ten patients were studied. Patients had a median age of 63 years. The most common comorbidity was neuropsychiatric disorders (50%). Seventy seven percent of cases were admitted with clinical signs of intestinal obstruction and peritonitis. Diagnosis was confirmed by plain abdominal radiograph in 90% of cases. Hartmann procedure was performed in 80% of patients. The main postoperative complication was surgical site infection (40%).

Conclusion:

In relation to emergency surgical management, Hartmann procedure is indicated in patients with septic shock.