Background: Sigmoid volvulus is a prevalent cause of large bowel obstruction in our setting, yet it remains uncommon in females when compared to adult males. Typically, sigmoid volvulus presents acutely with recurrent episodes, predominantly affecting individuals from rural areas. The condition is initially diagnosed through clinical evaluation and confirmed via abdominal x-ray, which reveals a distended colon with the characteristic imaging sign resembling a bean shape. In my experience, sigmoid volvulus in females is a rare occurrence, and this marks the second case I have treated using rectal tube deflation and sigmoidectomy.

Case Summary: This particular case involved large bowel obstruction, with a prior history of rectal tube deflation occurring for the third time. Consequently, I admitted the patient after deflation in the emergency department, and a sigmoidectomy with primary anastomosis was performed on the third day of admission, accompanied by mechanical and intravenous antibiotic therapy.

Method: The case report was prepared after reviewing the medical charts detailing her history, physical examination, imaging studies, and interventions.

Significance: Sigmoid volvulus continues to be a potential cause of recurrent and acute abdominal obstruction in young females.

Conclusion: Sigmoid volvulus is one of the common causes of large bowel obstruction with a common prevalence in areas where a high-fiber diet is common, such as Ethiopia. This problem of sigmoid can occur in elders, adults, and both sex.