Traumatic J-Pouch Perforation following a Blunt Abdominal Injury | Zendy

Leonid Drober | Zendy; David Hochstein | Zendy; Hany Bahouth | Zendy

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Traumatic J-Pouch Perforation following a Blunt Abdominal Injury

Author(s) -

Leonid Drober,

David Hochstein,

Hany Bahouth

Publication year - 2021

Publication title -

case reports in surgery

Language(s) - English

Resource type - Journals

eISSN - 2090-6900

pISSN - 2090-6919

DOI - 10.1155/2021/6686964

Subject(s) - medicine , exploratory laparotomy , surgery , ileostomy , pouch , anastomosis , peritonitis , abdomen , perforation , blunt , laparotomy , abdominal trauma , ulcerative colitis , general surgery , materials science , punching , disease , pathology , metallurgy

A 46-year-old male was admitted to the trauma department after a motor vehicle accident. He presented with severe abdominal pain and a distended abdomen with peritonitis. His past surgical history included total proctocolectomy with ileal J-pouch anal anastomosis for ulcerative colitis 20 years previously. Computed tomography showed free peritoneal air and fluid in the abdomen mandating an exploratory laparotomy. A perforation at the ileal J-pouch blind end was found. Primary closure with diverting loop ileostomy was performed. The patient had an uneventful recovery and underwent closure of the ileostomy two months later. The case and management are discussed after reviewing the literature.

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