PARKINSON’s disease is a disorder of somatic motor activity, due to degenerative changes in the basal ganglia. It is a chronic and progressive disorder. Chronic constipation and loss of intestinal tone is the visceral outcome of this disease. These gut manifestations tend to be further aggravated by the drugs used to decrease the somatic muscular rigidity and tremor. The outcome sometimes turns into sigmoid volvulus. The exact etiology of sigmoid volvulus in Parkinson’s disease (PD) remains unclear. Early recognition and treatment of constipation in PD patients may alter complications like sigmoid volvulus. Treatment of sigmoid volvulus in PD patients ranges from endoscopic detorsion to sigmoid colectomy with colostomy.. Herein, we describe an elderly patient with Parkinson’s disease who presented with sigmoid volvulus and underwent colectomy and colostomy.