2019 Volume 94 Issue 1 Pages 49-51
The case is of a 34-year-old female, who developed pan-ulcerative colitis at the age of 27 years. At the age of 29 years, because the patient was resistant to medical therapy, a total colectomy and ileal pouch-anal canal anastomosis were performed.
At the age of 34 years, five years post-surgery, the patient was admitted to the hospital for upper abdominal pain and nausea. On performing upper and lower gastrointestinal endoscopy, upper gastrointestinal tract lesions of UC and pouchitis were detected. Upon administration of crushed 5ASA and metronidazole, the symptoms improved and the patient was discharged.
The reported case is a highly suggestive case indicating that upon post-UC surgery upper abdominal symptoms, the possibility of upper gastrointestinal lesions should be considered.
