Secondary pouchitis in a post-operative patient with ulcerative colitis, successfully treated by salvage surgery |
| |
Authors: | Toiyama Yuji Araki Toshimitsu Yoshiyama Shigeyuki Miki Chikao Kusunoki Masato |
| |
Affiliation: | The Second Department of Surgery,Mie University School of Medicine,2-174 Edobashi,Tsu,Mie 514-8507,Japan |
| |
Abstract: | We report a case of secondary pouchitis, defined as a mucosal inflammatory lesion in the ileal reservoir provoked by pouch-related complication following total colectomy and pouch anal anastomosis, which was successfully treated by salvage surgery- A 20-year-old woman with ulcerative colitis developed acute severe bloody diarrhea following proctocolectomy, ileal pouch-anal anastomosis and diverting ileostomy. She was diagnosed as having a secondary pouchitis mainly caused by a peripouch abscess and partly concerned with the abnormal pouch formation. The remnant rectum and ileal pouch were excised and ileal pouch-anal anastomosis and diverting ileostomy were constructed. The postoperative course was uneventful with no sign of pouchitis. Salvage surgery may be indicated to treat secondary pouchitis when caused by surgery-related complications. |
| |
Keywords: | Ulcerative colitis Heal pouch-anal anastomosis Secondary pouchitis Salvage operation |
本文献已被 CNKI 维普 万方数据 PubMed 等数据库收录! |