Open AccessSecondary pouchitis in a post-operative patient with ulcerative colitis, successfully treated by salvage surgery
Author(s) -
Yuji Toiyama,
Toshimitsu Araki,
Shigeyuki Yoshiyama,
Chikao Miki,
Masato Kusunoki
Publication year - 2005
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v11.i43.6888
Subject(s) - pouchitis , medicine , ulcerative colitis , pouch , anastomosis , ileostomy , surgery , proctocolectomy , colectomy , rectum , disease
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.