One patient underwent right hemicolectomy with extracorporeal ileotransverse anastomosis by double linear stapling.
In the reintroduction of the diet, he presented with abdominal distension, postprandial nausea and vomiting.
However, there were no signs of peritonitis. Computed tomography was inconclusive.
He was then submitted to exploratory laparoscopy which shown a twisted anastomosis. It was then decided to partly resect the bowel and make a new intraoperative, isoperistaltic anastomosis with linear endoscopic stapler and complementary manual suture.
The patient had a satisfactory clinical outcome and was discharged on the fourth day after the second intervention.