Laparoscopic Sigmoidopexy for Acute Sigmoid Volvulus – A Case report with Review of Literature

Abstract

Sigmoid volvulus is the most common type of colonic volvulus and occurs when a portion or whole of the sigmoid colon twists around its blood supply. In sigmoid volvulus, this occurs at the base of the mesentery. Sigmoid volvulus often recurs and it is controversial whether preventive surgery should be performed in recurrent cases, especially in elderly and high-risk cases. Herein, we report the case of an 83 year old man with Parkinson’s disease who presented with acute sigmoid volvulus and was successfully treated with laparoscopic sigmoidopexy i.e. fixation of the untwisted colon to the abdominal wall. Laparoscopic sigmoidopexy may be an acceptable treatment for acute sigmoid volvulus in patients unwilling to undergo definitive resection with colostomy.