eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2017-02-14 5 1 22 24 10.12691/ajmcr-5-1-6 AJMCR2017516 article Christos Konstantinidis drchriskons@yahoo.gr 1 Surgical Department, Hippocratio General Hospital of Athens, 114 Vasilissis Sofias str, Athens, Region of Attica, Greece A 17-year-old male patient with chronic intestinal idiopathic pseudo-obstruction was admitted to the emergency department clinically deteriorated due to sigmoid volvulus. Initial resuscitative efforts followed by endoscopy failed to detorse and decompress the bowel. At the followed emergency laparotomy the volvulus was derotated and a Hartmann's procedure with left hemicolectomy was performed. The patient after 3 months underwent stoma closure. At one-year follow-up the patient showed clinical improvement. http://pubs.sciepub.com/ajmcr/5/1/6/ajmcr-5-1-6.pdf constipation megacolon pseudo obstruction sigmoid volvulus