Abstract
Total proctocolectomy with ileal pouch-anal anastomosis (IPAA) allows restoration of continence in select patients with ulcerative colitis but is associated with significant morbidity. Well-known complications following IPAA include pouchitis, anastomotic leak, and small bowel obstruction. Obstruction secondary to ileal pouch volvulus is exceedingly rare. We report a case of ileal pouch volvulus, which occurred secondary to internal hernia. Radiographic and endoscopic identification of volvulus allowed for early operative management and pouch salvage.
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References
Myrelid, P., P. Druvefors, and P. Andersson, Recurrent volvulus of an ileal pouch requiring repeat pouchopexy: a lesson learnt. Case Rep Surg, 2014. 2014: p. 807640.
Sherman, J., A.J. Greenstein, and A.J. Greenstein, Ileal j pouch complications and surgical solutions: a review. Inflamm Bowel Dis, 2014. 20(9): p. 1678-85.
Choughari, L., S. Sohawon, and S.O. Noordally, Volvulus of an ileoanal J pouch. Int J Colorectal Dis, 2010. 25(8): p. 1021-2.
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Mullen, M.G., Cullen, J.M., Michaels, A.D. et al. Ileal J-Pouch Volvulus Following Total Proctocolectomy for Ulcerative Colitis. J Gastrointest Surg 20, 1072–1073 (2016). https://doi.org/10.1007/s11605-015-3038-2
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DOI: https://doi.org/10.1007/s11605-015-3038-2