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Journal of Gastrointestinal Surgery
Published in: Journal of Gastrointestinal Surgery 5/2016

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.
Literature
1.
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.PubMedPubMedCentral
2.
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.
3.
Choughari, L., S. Sohawon, and S.O. Noordally, Volvulus of an ileoanal J pouch. Int J Colorectal Dis, 2010. 25(8): p. 1021-2.
Metadata
Title
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
Publication date
01-05-2016
Publisher
Springer US
Published in
Journal of Gastrointestinal Surgery / Issue 5/2016
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-015-3038-2

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