[Transsacral fistula of an ileal pouch-anal anastomosis].
For patients with ulcerative colitis and familial adenomatous polyposis the restorative proctocolectomy with ileo-anal-pouch anastomosis is the surgical treatment of choice. Leakage from the ileo-pouch anastomosis is the surgical treatment of choice. Leakage from the ileo-pouch-anastomosis can be a difficult to manage complication, which in some cases resists all attempts at local repair. A surprising complication of a 28 years old woman patient with an ileo-anal-pouch anastomotic fistula is presented. The fistula developed the 4th day postoperatively. Local irrigation and transanal drainage seemed to have a good result, the patient being examined after two weeks. During an apparently better evolution, after one month, the patient developed a transsacral fistula with local abscess and osteolysis. The ileo-anal-pouch anastomosis was converted to a less comfortable conventional ileostomy, but with good local and general final result.
Clinica Chirurgicală nr. III, Spitalul Clinic Judeţean Str. G. Marinescu nr. 50 4300 Târgu-Mureş.
S
S
Bancu
C
C
Borz
O
O
Jimboreanu
D
D
Zamfir
G
G
Popescu
D011125:Adenomatous Polyposis Coli / Q000601:surgery; D000328:Adult; D039021:Colonic Pouches / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology* / Q000601:surgery; D010019:Osteomyelitis / Q000209:etiology* / Q000601:surgery; D012447:Sacrum; D016896:Treatment Outcome