The authors report a case of complete rotation of the left colon after
laparoscopic sigmoidectomy. Such an uncommon complication in open col
ectomies has not been previously described with the laparoscopic appro
ach. During the performance of laparoscopic-assisted colectomies the p
roximal segment of the colon can be rotated when removing the specimen
through a small incision. Therefore we recommend inspecting the posit
ion of the colon before the stapler is fired.