腸回転異常症を伴う骨盤臓器脱に対し腹腔鏡下仙骨腟固定術を施行した一例

抄録

　A 63-year-old woman, G4P3, presented to our hospital after being diagnosed with pelvic organ prolapse (Pelvic Organ Prolapse Quantification System stage III) during a routine health examination. Abdominal CT revealed that the patient's cecum had shifted to the middle lower abdomen with the small intestine on its right and the ascending colon on its left. Although intestinal malrotation was noted, no adhesions or vascular abnormalities were observed on the sacral promontory. Accordingly, the patient was scheduled to undergo laparoscopic sacrocolpopexy. Intraoperatively, most of the small intestine was found to be positioned on the right. By elevating the pelvic organs, we achieved adequate visibility without additional manipulation of the intestines. No positional abnormalities were observed with regard to the sigmoid colon, rectum, or ovarian vessels. The planned surgery was completed successfully, and the postoperative course was uneventful. As of the most recent outpatient clinic follow-up 4 years postoperatively, the patient was asymptomatic and had no signs of recurrence.