Journal
EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY
Volume 16, Issue 10, Pages 1057-1058Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/00042737-200410000-00017
Keywords
pouchitis; ulcerative colitis; ileal pouch-anal anastomosis; extra-intestinal manifestations; pyoderma gangrenosum
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A 43-year-old female with ulcerative colitis treated by proctocolectomy and ileal pouch-anal anastomosis developed acute pouchitis. Although no extra-intestinal manifestations were present before the surgical procedure, pyoderma gangrenosum developed concomitantly with the appearance of acute pouchitis. Both conditions completely resolved with oral metronidazole only. This is the first report of acute pouchitis-related pyoderma gangrenosum. This association suggests that pouchitis may represent a recurrent ulcerative colitis-like syndrome within the novel environment of the pouch.
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