# A Case of Acute Colonic Pseudo-Obstruction and Anastomotic Leakage After Sigmoidectomy for Sigmoid Volvulus

## TL;DR

An 83-year-old man developed a serious bowel condition after surgery for a twisted colon, highlighting the need for early detection and treatment.

## Contribution

This case report highlights the rare but severe complication of ACPO and anastomotic leakage after sigmoidectomy for sigmoid volvulus.

## Key findings

- The patient developed ACPO following laparoscopic surgery for sigmoid volvulus.
- Complications required further surgical intervention due to anastomotic leakage.
- Early diagnosis and aggressive management are critical to prevent life-threatening outcomes.

## Abstract

Acute colonic pseudo-obstruction (ACPO) is characterized by significant colonic distension without a mechanical obstruction. We present a case of an 83-year-old male who developed ACPO following laparoscopic surgery for sigmoid volvulus. This report details the patient's postoperative journey, highlighting the diagnostic and management challenges encountered. Despite various medical interventions, the patient's condition necessitated further surgical attention due to complications. This case underscores the importance of early diagnosis and aggressive management in ACPO to prevent life-threatening consequences and improve patient outcomes.