A Case of Strangulated Intestinal Obstruction due to Reconstructed Intestinal Tract and Pelvic Wall after Laparoscopic Assisted Sigmoid Resection

Abstract

We have experienced a case of strangulated intestinal obstruction due to the reconstructed intestinal tract and pelvic wall after laparoscopic assisted sigmoidectomy. The patient was an 80-year-old woman. She underwent laparoscopic assisted sigmoidectomy at another hospital 5 years previously. The patient was brought into our emergency room due to sudden onset of abdominal pain and nausea. Abdominal CT scan revealed dilation and a closed loop of the small intestine in the pelvis, and a diagnosis of strangulated intestinal obstruction due to postoperative adhesions was made. Emergency surgery was performed. The small intestine had entered a gap formed between the reconstructed intestinal tract and the anterior surface of the sacrum and had become constricted. The necrotic intestine was partially resected. Even in laparoscopic surgery, depending on the case, it is necessary to consider techniques that do not create a gap between the intestinal tract and the pelvic wall, or that close the gap.