Laparoscopic colopexy for neo-left colonic volvulus 10 years after anterior resection

Roy Huynh*, Mifanwy Reece, David Mansouri, Thuy-My Nguyen, Anil Keshava

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Recurrent neo-left colonic volvulus is a rare complication following anterior resection. The conventional approach to treating recurrent volvulus is a large bowel resection with anastomosis or colostomy formation after successful endoscopic decompression. However, in elderly and comorbid patients, this can result in significant morbidity or mortality. Laparoscopic colopexy is a less invasive alternative that has not been previously reported for the treatment of neo-left colonic volvulus. We describe a case of an 86-year-old male who presented with recurrent neo-left colonic volvulus 10 years post-laparoscopic anterior resection for cancer. A laparoscopic colopexy was performed to resolve the volvulus and prevent future recurrence. Interrupted prolene sutures were used to fix the neo-left colon to the posterior stomach and the left lateral abdominal wall. The patient had an uncomplicated postoperative recovery and was discharged 6 days after surgery. He was well at 6 months follow-up.

Original languageEnglish
Article number555
Pages (from-to)1-3
Number of pages3
JournalJournal of surgical case reports
Volume2020
Issue number12
DOIs
Publication statusPublished - Dec 2020

Keywords

  • SIGMOID VOLVULUS

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