title: An unusual cause of anal pain following ileal pouch-anal anastomosis.
abstract: Ileal pouch-anal anastomosis (IPAA) is a safe and effective operation in properly selected patients, but a variety of potential complications can occur. We present a case of a 56-year-old female who underwent a double-stapled IPAA for refractory ulcerative colitis and postoperatively developed unrelenting, severe anal pain requiring daily narcotics. Examination under anesthesia revealed that her pain was a result of staples from the anastomosis that had migrated into the highly sensitive anoderm below the dentate line. Removal of these staples led to resolution of her symptoms.
authors: Department of Surgery, Mayo Clinic, Rochester, MN, USA.
authors: A
authors: A
authors: Merchea
authors: E J
authors: EJ
authors: Dozois
mesh_terms: D001003:Anal Canal; D000714:Anastomosis, Surgical; D002908:Chronic Disease; D003093:Colitis, Ulcerative / Q000601:surgery*; D039021:Colonic Pouches; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D010149:Postoperative Pain / Q000209:etiology*; D011788:Quality of Life; D017792:Surgical Stapling; D013537:Sutures