Journal
JOURNAL OF GASTROINTESTINAL SURGERY
Volume 20, Issue 5, Pages 1072-1073Publisher
SPRINGER
DOI: 10.1007/s11605-015-3038-2
Keywords
J-pouch; Ileal pouch; Volvulus; Ulcerative colitis
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Funding
- NCI NIH HHS [T32 CA163177] Funding Source: Medline
- NIAID NIH HHS [T32 AI007496] Funding Source: Medline
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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.
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