Ileo-anal pouch necrosis secondary to small bowel volvulus: A case report

Sandeep Patel , Gurcharan Salotera , Shashank Gurjar , Jim Hewes , Ibrahim Ahmed and Brian Andrews

Department of Surgery, Medway Maritime Hospital, Gillingham, Kent, UK

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World Journal of Emergency Surgery 2008, 3:18doi:10.1186/1749-7922-3-18


Published:	30 May 2008

Abstract

Introduction

Small bowel volvulus is a rare occurrence in the Western world and its occurrence after ileo-anal ouch formation is even rarer.

Case Presentation

We report a case of a 26 year old lady who presented with small bowel volvulus and subsequent ischaemia and necrosis of her ileo-anal pouch created 5 years previously.

Conclusion

This case illustrates a rare but potentially devastating complication of ileo-anal pouch formation and as such the diagnosis should be borne in mind when a patient with a pouch presents with an acute abdomen.