Perforation of terminal ileal appendage of J-pelvic ileal reservoir.
If, during restorative proctocolectomy, the most distal segment of the terminal ileum is not incorporated into the reservoir during J-pouch construction, it will remain as an appendage and may twist upon itself and obstruct. Two cases in which this resulted in significant complications are described.
D000328:Adult; D003082:Colectomy; D003093:Colitis, Ulcerative / Q000601:surgery; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology*; D007082:Ileum / Q000601:surgery*; D007416:Intestinal Perforation / Q000209:etiology*; D008297:Male; D008532:Megacolon, Toxic / Q000601:surgery; D008722:Methods; D011183:Postoperative Complications / Q000517:prevention & control; D012007:Rectum / Q000601:surgery*