Recurrent Anastomotic Leak After Hartmann Reversal: Successful Management With Vacuum-Assisted Endoscopic Drainage and Diversion
Abstract
Anastomotic leakage after Hartmann reversal is a challenging complication with limited management options. We report a 27-year-old woman who developed a recurrent leak after reversal surgery. Instead of repeat laparotomy, she underwent combined endoscopic vacuum-assisted therapy and diverting colostomy. Serial sponge exchanges promoted cavity collapse, infection resolution, and granulation, achieving healing without permanent diversion. This case illustrates the role of endoscopic vacuum-assisted therapy as a minimally invasive salvage option for recurrent colorectal leaks, highlighting its value in preserving bowel continuity and reducing morbidity in complex surgical scenarios.
Fields of Study & Subjects
Diverticular Disease and Complications
Abdominal Surgery and Complications
Colorectal Cancer Surgical Treatments
Publication details
- Journal / source
- ACG Case Reports Journal
- Volume
- 13
- Issue
- 2
- Pages
- e01976–e01976
- Publication date
- 1 February 2026
- Language
- EN