Sigmoid volvulus rotation occurs
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
Clockwise
Anticlockwise
Both clockwise and anti clockwise
Axial in direction
G.I.T