Abstract
The patient was a 36-year-old male with ulcerative colitis, which was treated with by subtotal colectomy, singlebarrel ileostomy and sigmoidostomy. At postoperative day 6, abdominal pain and nausea appeared. On the following day, an abdominal X-ray revealed the presence of the niveau sign. The diagnosis of intestinal obstruction was made and followed by insertion of an ileus tube, but without any improvement. An emergency laparotomy was thus performed on the same day, and the cause of the intestinal obstruction was identified as a torsion of aberrant intestine present laterally to the elevated distal ileum. The torsion was removed, the retroperitoneum and peritoneum in the proximal part of ileostomy sutured, and the gap closed to prevent the recurrence of the intestinal aberration. In addition, to prevent the aberration due to the fixed intestine, fibrin glue was sprayed intraperitoneally and the abdominal cavity closed. The postoperative outcome was favorable, without any complication due to the recurrence of intestinal obstruction, and the patient was discharged on postoperative day 31. An ileostomy is one of the possible causes of intestinal obstruction in ulcerative colitis patients and therefore plays an important role in diagnosis, therapy and prevention of recurrence in these patients.
