We report an unusual presentation of pouch dysfunction because of excessive pouch enlargement or “mega pouch” and probable torsion. The patient presented with abdominal pain that was positional. Contrast-enhanced computerized tomography showed pouch anastomotic staples extending into the right upper quadrant. At operation, gross pouch enlargement with dilation of the afferent ileum was confirmed. Reduction pouch-plasty resulted in pain resolution and maintenance of satisfactory function.
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Maddireddy, V.K.R., Shorthouse, A., Goodfellow, P. et al. Intermittent Torsion of a Megapouch: Report of a Case. Dis Colon Rectum 50, 2244–2246 (2007). https://doi.org/10.1007/s10350-006-0861-2
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DOI: https://doi.org/10.1007/s10350-006-0861-2