Salvage Operation for Secondary Pouchitis in Post-operative Patient with Ulcerative Colitis: Report of a Case and Review of the Literature

Abstract

secondary pouchitis that was successfully treated by salvage surgery. A 20-year-old woman with ulcerative colitis developed an acute, severe bloody diarrhea following a proctocolectomy, ileal pouch anal-canal anasto-mosis and diverting ileostomy. She was diagnosed as having secondary pouchitis arising from a peripouch ab-scess, apical bridge or blind loop formation. The remnant rectum and ileal pouch were excised, and a new ileal pouch-anal anastomosis and diverting ileostomy were made. The patient's postoperative course was unevent-ful, and she has shown no further signs of pouchitis. Salvage surgery may be a valuable treatment for treating secondary pouchitis when the pouchitis is caused by surgery-related complications.