Primary small intestinal volvulus after laparoscopic rectopexy for rectal prolapse

Area of Science:

• Gastroenterology
• Surgical Pathology

Background:

• Primary small intestinal volvulus is defined as intestinal torsion without congenital malrotation, bands, or adhesions.
• Early postoperative small intestinal volvulus is an uncommon complication.

Observation:

• A 40-year-old woman underwent laparoscopic rectopexy for rectal prolapse.
• Postoperatively, she experienced intolerance to oral intake and developed abdominal pain.
• Contrast-enhanced CT identified small intestinal mesenteric torsion.

Findings:

• Emergent laparotomy confirmed primary small intestinal volvulus without malformations or adhesions.
• Strangulated intestine required resection and reconstruction.
• The patient recovered fully after the second surgery.

Implications:

• This is the first reported case of primary small intestinal volvulus following rectopexy for rectal prolapse.
• Primary small intestinal volvulus should be considered a potential postoperative complication after laparoscopic procedures.