title: Ileal J-Pouch Volvulus Following Total Proctocolectomy for Ulcerative Colitis.
abstract: Total proctocolectomy with ileal pouch-anal anastomosis (IPAA) allows restoration of continence in select patients with ulcerative colitis but is associated with significant morbidity. Well-known complications following IPAA include pouchitis, anastomotic leak, and small bowel obstruction. Obstruction secondary to ileal pouch volvulus is exceedingly rare. We report a case of ileal pouch volvulus, which occurred secondary to internal hernia. Radiographic and endoscopic identification of volvulus allowed for early operative management and pouch salvage.
authors.affiliation: Section of Colorectal Surgery, Division of General Surgery, University of Virginia, Charlottesville, VA, USA.
authors.forename: Matthew G
authors.initials: MG
authors.lastname: Mullen
authors.affiliation: Section of Colorectal Surgery, Division of General Surgery, University of Virginia, Charlottesville, VA, USA.
authors.forename: J Michael
authors.initials: JM
authors.lastname: Cullen
authors.affiliation: Section of Colorectal Surgery, Division of General Surgery, University of Virginia, Charlottesville, VA, USA.
authors.forename: Alex D
authors.initials: AD
authors.lastname: Michaels
authors.affiliation: Section of Colorectal Surgery, Division of General Surgery, University of Virginia, Charlottesville, VA, USA.
authors.forename: Traci L
authors.initials: TL
authors.lastname: Hedrick
authors.affiliation: Section of Colorectal Surgery, Division of General Surgery, University of Virginia, Charlottesville, VA, USA. cmf2x@virginia.edu.
authors.forename: Charles M
authors.initials: CM
authors.lastname: Friel
mesh_terms: D000328:Adult; D001003:Anal Canal / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000009:adverse effects; D003093:Colitis, Ulcerative / Q000601:surgery*; D039021:Colonic Pouches; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery*; D045822:Intestinal Volvulus / Q000175:diagnosis / Q000209:etiology*; D011183:Postoperative Complications; D011860:Radiography, Abdominal
keywords: Ileal pouch; J-pouch; Ulcerative colitis; Volvulus