Diversifying Robotic Ileocecectomy Methods: Superior Port Placement in a Patient With an Obstructed Crohn's Disease Flare-Up

Crohn’s disease (CD) is an inflammatory bowel disease that can lead to fibrostenotic and fistulizing complications, requiring surgical management. We present a patient with known ileocolonic CD who presented with bowel obstruction and an interloop abscess. Imaging and intraoperative findings were consistent with advanced fibrostenotic and fistulizing disease involving the terminal ileum and adjacent small bowel. The patient underwent a robotic-assisted ileocecectomy and small bowel resection. Due to inflammatory burden and anatomic distortion, a modified port placement strategy was used to facilitate safe dissection and resection. The surgery was successfully performed with no intraoperative or postoperative complications. This case highlights the importance of individualized operative planning in complex CD and demonstrates the utility of adaptable robotic port placement in managing advanced intra-abdominal inflammatory disease.