Published in:
01-05-2016 | GI Image
Ileal J-Pouch Volvulus Following Total Proctocolectomy for Ulcerative Colitis
Authors:
Matthew G. Mullen, J. Michael Cullen, Alex D. Michaels, Traci L. Hedrick, Charles M. Friel
Published in:
Journal of Gastrointestinal Surgery
|
Issue 5/2016
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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.