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Techniques in Coloproctology
Published in: Techniques in Coloproctology 3/2013

01-06-2013 | Case Report

An unusual cause of anal pain following ileal pouch-anal anastomosis

Authors: A. Merchea, E. J. Dozois

Published in: Techniques in Coloproctology | Issue 3/2013

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Abstract

Ileal pouch-anal anastomosis (IPAA) is a safe and effective operation in properly selected patients, but a variety of potential complications can occur. We present a case of a 56-year-old female who underwent a double-stapled IPAA for refractory ulcerative colitis and postoperatively developed unrelenting, severe anal pain requiring daily narcotics. Examination under anesthesia revealed that her pain was a result of staples from the anastomosis that had migrated into the highly sensitive anoderm below the dentate line. Removal of these staples led to resolution of her symptoms.
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Metadata
Title
An unusual cause of anal pain following ileal pouch-anal anastomosis
Authors
A. Merchea
E. J. Dozois
Publication date
01-06-2013
Publisher
Springer Milan
Published in
Techniques in Coloproctology / Issue 3/2013
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-011-0708-2

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