title: Side-to-side anastomosis fashioned as stoma after sigmoid resection for sigmoid volvulus: a case report.
abstract: OBJECTIVE
  Colonic volvulus is one of the causes of large bowel obstruction with sigmoid colon being the most usually affected part. Surgery is the gold standard when signs of peritonitis are present or endoscopic decompression fails.
  
  
  METHODS
  We report the case of 65-year-old man with acute large bowel obstruction due to sigmoid volvulus who underwent a laparoscopic-assisted sigmoid resection on an emergency basis. The condition of the bowel wall precluded a primary anastomosis. But instead, a side-to-side anastomosis that its common blind stump was brought out as an end stoma was performed.
  
  
  RESULTS
  The postoperative period was eventless. The patient was discharged on the 6th postoperative day. Eight weeks after the initial operation, the patient was readmitted for the secondary closure of the anastomotic stoma. Local anesthesia and minor sedation were enough in order to perform the stoma take down.
  
  
  CONCLUSIONS
  Laparoscopic-assisted sigmoid resection is a useful adjunct to the surgical armamentarium when facing the problem of sigmoid volvulus. When a safe restoration of the alimentary tract continuity cannot be achieved safely with a primary anastomosis, the proposed anastomotic stoma technique is a useful and practical alternative.
authors: General Surgery Department, University Hospital of Larissa, 41110 Mezourlo, Larissa, Greece.
authors: G
authors: G
authors: Christodoulidis
authors: D
authors: D
authors: Symeonidis
authors: G
authors: G
authors: Koukoulis
authors: I
authors: I
authors: Balogiannis
authors: M
authors: M
authors: Spyridakis
authors: K
authors: K
authors: Tepetes
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D003106:Colon / Q000601:surgery*; D012809:Colon, Sigmoid / Q000601:surgery; D003125:Colostomy / Q000379:methods*; D006801:Humans; D045822:Intestinal Volvulus / Q000601:surgery*; D008297:Male; D012810:Sigmoid Diseases / Q000601:surgery*