Ileal J-pouch perforation at the blind end: Report of a case

Ken Ichi Takahashi, Yuji Funayama, Kouhei Fukushima, Chikashi Shibata, Hitoshi Ogawa, Iwao Sasaki

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

A 34-year-old woman presented with severe abdominal pain 8 years after undergoing ileal J-pouch anal anastomosis for ulcerative colitis (UC). Computed tomography (CT) showed free air and ascites in the abdomen, so she underwent laparotomy. A perforation was found at the ileal J-pouch blind end, which was remarkably enlarged. When we resected the blind end surgically, we observed a 3-mm perforation and some small ulcers. About 2 months after this operation, the patient complained of abdominal pain and an increased frequency of bowel movements. Based on our endoscopic observation of multiple ulcers, we diagnosed pouchitis. We report this case to show that the combination of an enlarged J-pouch blind end and pouchitis can result in perforation. To prevent such complications, we recommend avoiding the formation of a blind end during construction of a J-pouch.

Original languageEnglish
Pages (from-to)1080-1082
Number of pages3
JournalSurgery today
Volume39
Issue number12
DOIs
Publication statusPublished - 2009 Dec

Keywords

  • Ileal pouch-anal anastomosis
  • Intestinal perforation
  • Pouchitis
  • Ulcerative colitis

ASJC Scopus subject areas

  • Surgery

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