Percutaneous endoscopic sigmoidopexy for sigmoid volvulus: A case report

• It is controversial whether surgery should be performed to prevent recurrence of sigmoid volvulus in high-risk cases.
• Percutaneous endoscopic sigmoidopexy was effective in preventing recurrence of sigmoid volvulus.
• Buried fixation sutures are thought to be useful because removal of the fixations is not necessary.

IntroductionSigmoid volvulus often recurs and it is controversial whether preventive surgery should be performed in recurrent cases, especially in elderly and high-risk cases. Herein, we report a case of successful endoscopic sigmoidopexy using fixation to the abdominal wall.Case presentationThe patient was an 86-year-old woman with multiple system atrophy, cerebral infarction, and disuse syndrome. She was admitted to our hospital with a recurrent sigmoid volvulus. Since surgery was considered high-risk, percutaneous endoscopic sigmoidopexy with fixation to the abdominal wall was indicated.DiscussionPercutaneous endoscopic sigmoidopexy was performed for this high-risk case with recurrent sigmoid volvulus. This procedure is advantageous in that suture removal is not necessary because the fixation sutures are buried subcutaneously. Reviewing the relevant literature, we believe that this is the first case of percutaneous endoscopic sigmoidopexy using abdominal wall fixation with buried sutures.ConclusionAlthough further experience is necessary, percutaneous endoscopic sigmoidopexy may be an acceptable treatment for recurrent sigmoid volvulus in high-risk patients.