Laparoscopic Sigmoidopexy as a Temporizing and Minimally Invasive Strategy in a Frail Patient with Sigmoid Volvulus: A Case Report

Ben Lahsen Mohamed*, Sekkat Hamza, Bakali Younes, Sabbah Farid, Raiss Mohamed, Mouna Alaoui and Hrora Abdelmalek

Department of General Surgery, Ibn Sina University Hospital, Rabat, Morocco

^*Correspondance to: Ben Lahsen Mohamed 

 PDF  Full Text Case Report | Open Access

Abstract:

Introduction: Sigmoid volvulus is a common surgical emergency. Although sigmoid resection is considered the definitive treatment, emergency surgery may be associated with high morbidity and mortality in frail patients. Alternative strategies may be required in selected cases. Case Presentation: We report the case of a 60-year-old tetraplegic woman with severe psychomotor retardation admitted for acute colonic obstruction due to sigmoid volvulus. Endoscopic detorsion failed. Considering the patient’s extreme frailty, laparoscopic sigmoidopexy was performed as an emergency procedure, with the aim of overcoming the acute phase and planning delayed definitive surgery. Discussion: Sigmoidopexy does not eliminate the pathological segment but may represent a useful temporizing option in high-risk patients. The laparoscopic approach offers the benefits of minimal invasiveness and faster recovery. Conclusion: In selected frail patients, laparoscopic sigmoidopexy can be considered as a bridge strategy before delayed sigmoid resection.

Keywords:

Sigmoid volvulus; Laparoscopic sigmoidopexy; Frail patient; Two-stage surgery; Case report

Cite the Article:

Mohamed BL, Hamza S, Younes B, Farid S, Mohamed R, Alaoui M, et al. Laparoscopic Sigmoidopexy as a Temporizing and Minimally Invasive Strategy in a Frail Patient with Sigmoid Volvulus: A Case Report. Ann Clin Case Rep. 2026; 11: 2819..