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ROBOTIC SIGMOID RESECTION IN A PATIENT WITH PELVIC KIDNEY ANOMALY: OVERCOMING ANATOMICAL AND SURGICAL CHALLENGES
Mustafa Oruc^*, Joshua Sommovilla, Emre Gorgun
Colorectal Surgery, Cleveland Clinic, Cleveland, OH

Introduction
A pelvic kidney anomaly, occurring in 1 in 700 live births, is a common variation that poses challenges in elective colorectal surgeries, especially with prior abdominal surgeries and infections.
Case Report
A 72-year-old woman with a pelvic kidney anomaly and multiple prior surgeries presented with recurrent diverticulitis. Robotic-assisted sigmoidectomy addressed severe adhesions, scarring, and a bladder defect, which were repaired robotically. The sigmoid colon was resected, and colorectal anastomosis completed. The patient was discharged without complications.
Conclusion
Robotic-assisted surgery ensures precision and improved outcomes in challenging colorectal cases.

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