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CC BY-NC-ND 4.0 · Journal of Coloproctology 2021; 41(04): 447-450
DOI: 10.1055/s-0041-1739315
Case Report

Elective Laparoscopic Sigmoidectomy with Preservation of the Superior Rectal Artery Prior to Endoscopic Decompression in Sigmoid Volvulus

Aldo Jaramillo Romero 
1   Department of Colorectal Surgery, Hospital Central Militar, Ciudad de México, Mexico
,
Mario Alberto Ramirez López 
1   Department of Colorectal Surgery, Hospital Central Militar, Ciudad de México, Mexico
,
Samantha L. Mejía Flores 
1   Department of Colorectal Surgery, Hospital Central Militar, Ciudad de México, Mexico
,
Andrés Niño Carrasco 
1   Department of Colorectal Surgery, Hospital Central Militar, Ciudad de México, Mexico
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Abstract

Sigmoid volvulus is a frequent cause of intestinal obstruction. Its management has evolved with the use of laparoscopic surgery, achieving an elective sigmoid resection with anastomosis after a flexible endoscopic detorsion. A female patient was admitted to the emergency room with abdominal pain, distention, and constipation. The abdominal computed tomography showed a whirled sigmoid mesentery in addition to dilated sigmoid loops, and coffee bean sign. The patient successfully underwent a flexible endoscopic detorsion and was scheduled for elective sigmoid colectomy with rectal superior artery preservation and primary anastomosis. During the sigmoid resection, the superior rectal artery preservation is related to a better prognostic, with less bleeding, anastomotic leakage, and hospital stay. Currently, there are few reports of the laparoscopic preservation of the superior rectal artery in patients with sigmoid volvulus.

Keywords

intestinal volvulus - sigmoid - laparoscopy


Publication History

Received: 11 November 2020

Accepted: 15 June 2021

Article published online:
13 December 2021

© 2021. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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