Intermittent torsion of a megapouch: report of a case.
We report an unusual presentation of pouch dysfunction because of excessive pouch enlargement or "mega pouch" and probable torsion. The patient presented with abdominal pain that was positional. Contrast-enhanced computerized tomography showed pouch anastomotic staples extending into the right upper quadrant. At operation, gross pouch enlargement with dilation of the afferent ileum was confirmed. Reduction pouch-plasty resulted in pain resolution and maintenance of satisfactory function.
Maddireddy
Vinodh Kumar Reddy
VK
Colorectal Unit, University of Sheffield, Sheffield Teaching Hospitals, Sheffield, United Kingdom. vkreddy2003@yahoo.com
Shorthouse
Andrew
A
Goodfellow
Peter
P
Katory
Mark
M
D003093:Colitis, Ulcerative / Q000601:surgery; D039021:Colonic Pouches; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007081:Ileostomy / Q000379:methods*; D008875:Middle Aged; D016737:Proctocolectomy, Restorative / Q000379:methods; D011860:Radiography, Abdominal; D014102:Torsion Abnormality / Q000175:diagnosis* / Q000601:surgery