Two Cases of Recurrent Sigmoid Volvulus Treated with Single-Incision Laparoscope-Assisted Sigmoidectomy

Abstract

We performed a single-incision laparoscope-assisted sigmoidectomy for recurrent sigmoid volvulus in two patients. (Case 1) A 67-year-old man visited our hospital, complaining of abdominal pain. Abdominal X-ray and computed tomography revealed volvulus of the sigmoid colon, and a reduction procedure was performed colonoscopically. The patient was discharged from the hospital, but he sought medical attention again 5 days later for abdominal pain. As recurrence of the sigmoid volvulus was diagnosed, the patient underwent single-incision laparoscope-assisted sigmoidectomy performed through a small incision in the umbilical region. The patient was discharged on post-operative day 10 with an uneventful postoperative course. (Case 2) A 55-year-old man visited our hospital, complaining of abdominal pain. He had been hospitalized with sigmoid volvulus at another hospital one and a half years previously. Because of the recurrence of sigmoid volvulus, the patient underwent single-incision laparoscope-assisted sigmoidectomy. The patient was discharged on post-operative day 7, and the postoperative course was uneventful. The single-incision operation for this disease does not require any special instruments and can be performed safely, we therefore suggest this approach as an alternative therapeutic option for signoid volvulus.