Sigmoid volvulus: Coincidence with neurological diseases

Abstract

To the Editor, Sigmoid volvulus (SV) is a rare large bowel obstruction form across the world. However, its incidence is relatively high in some regions including Africa, South America, Eastern Europa, and Asia.1 SV is also common in Eastern Anatolia, eastern part of Turkey. We treated 1,040 cases with SV in a 55- year period (from June 1966 to July 2021). This is the largest SV series in the world.2 SV complicating some neurologic diseases including Parkinson’s disease (PD) or Alzheimer’s disease (AD) is naturally an extremely rare clinical entity worldwide.3 In this letter, I want to utilize the role of neurologic diseases in the development of SV in addition to the discussion of some theoretical and practical topics on the pathophysiology, clinical presentation, diagnosis, treatment, and observation of this comorbidity