Sigmoid volvulus rotation occurs: (A) Clockwise, (B) Anticlockwise, (C) Both clockwise and anti clockwise, (D) Axial in direction
Answer is B. Rotation nearly always occurs in the anticlockwise direction. predisposing medical causes are: Overloaded pelvic colon Long pelvic mesocolon Band of adhesions (peridiveiculitis ) Narrow attachment of pelvic mesocolon high residue diet constipation Ref: Bailey & Love&;s Sho Practice of Surgery,E25,Page-1192