Intermittent torsion of a megapouch: report of a case.

Maddireddy, Vinodh Kumar Reddy; Shorthouse, Andrew; Goodfellow, Peter; Katory, Mark · Dis Colon Rectum · 2007

case_report · Level V

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Abstract

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.

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