A novel interventional approach to sigmoid volvulus

We report a case of a 96-year-old gentleman who presented with recurrent sigmoid volvulus and was deemed inoperable by either operative or endoscopic means due to his prohibitively high cardiac risk. The volvulus was managed with a computed tomography (CT)-guided sigmoidopexy using two gastrostomy tubes to affix the sigmoid colon to the abdominal wall by means of T-fasteners. The procedure was tolerated well by the patient.