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Primary small intestinal volvulus after laparoscopic rectopexy for rectal prolapse
Author(s) -
Koizumi Michihiro,
Yamada Takeshi,
Shinji Seiichi,
Yokoyama Yasuyuki,
Takahashi Goro,
Hotta Masahiro,
Iwai Takuma,
Hara Keisuke,
Takeda Kohki,
Kan Hayato,
Takasaki Hideaki,
Ohta Keiichiro,
Uchida Eiji
Publication year - 2018
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12462
Subject(s) - medicine , rectal prolapse , laparotomy , volvulus , surgery , laparoscopy , mesentery , complication , laparoscopic surgery , general surgery , rectum
Abstract Primary small intestinal volvulus is defined as torsion in the absence of congenital malrotation, band, or postoperative adhesions. Its occurrence as an early postoperative complication is rare. A 40‐year‐old woman presented with rectal prolapse, and laparoscopic rectopexy was uneventfully performed. She could not have food on the day after surgery. She started oral intake on postoperative day 3 but developed abdominal pain after the meal. Contrast‐enhanced CT revealed torsion of the small intestinal mesentery. An emergent laparotomy showed small intestinal volvulus, without congenital malformation or intestinal adhesions. We diagnosed it as primary small intestinal volvulus. The strangulated intestine was resected, and reconstruction was performed. The patient recovered uneventfully after the second surgery. To the best of our knowledge, this is the first report of primary small intestinal volvulus occurring after rectopexy for rectal prolapse. Primary small intestinal volvulus could be a postoperative complication after laparoscopy.