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Sigmoid volvulus in childhood is a rare entity. Dolichosigmoid, i.e. an abnormally long sigmoid flexure, and or absence of mesosigma are predisposing factors in most cases. A case of a 9-year-old black male child is reported. The patient presented with the typical symptoms and, at operation, a necrotic segment of the sigma of huge dimensions was found. Volvulus consisted of three complete counterclockwise rotations of the proximal on the distal tract.
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