Elective Laparoscopic Sigmoidectomy with Preservation of the Superior Rectal Artery Prior to Endoscopic Decompression in Sigmoid Volvulus

Abstract Sigmoid volvulus is a frequent cause of intestinal obstruction. Its management has evolved with the use laparoscopic surgery, achieving an elective sigmoid resection anastomosis after flexible endoscopic detorsion. A female patient was admitted to emergency room abdominal pain, distention, and constipation. The computed tomography showed whirled mesentery in addition dilated loops, coffee bean sign. successfully underwent detorsion scheduled for colectomy rectal superior artery preservation primary anastomosis. During resection, related better prognostic, less bleeding, anastomotic leakage, hospital stay. Currently, there are few reports patients volvulus.