Royal College of Surgeons in Ireland
Recurrent Pouch Volvulus Following Ileoanal J-Pouch Anastomosis. A Case Report.pdf (719.92 kB)

Recurrent pouch volvulus following ileoanal j-pouch anastomosis: a case report

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posted on 2023-07-31, 10:43 authored by Mohammad AlabdulrahmanMohammad Alabdulrahman, Lea Stuart, Ellie Smith, P Ronan O'Connell

For individuals suffering from severe refractory ulcerative colitis (UC) who are unresponsive to medical treatment, a total proctocolectomy and ileal pouch-anal anastomosis (IPAA) surgery is the gold-standard treatment. However, its complications include anastomotic leaks, pelvic or perianal abscesses, and rare complications such as pouch volvulus. To our knowledge, there is a scarcity of case reports on patients with, specifically, a recurrent pouch volvulus. We present a case of a 57-year-old female with refractory UC who had undergone this treatment with no initial complications; 15 years later, she presented with intermittent bouts of obstruction. An exploratory laparotomy was performed; however, no adhesions or necrosis were found. Following investigations, pouch volvulus was confirmed. She subsequently underwent four endoscopic decompressions in the same year and ultimately received an enteropexy of the pouch. The volvulus reoccurred and, ultimately, the decision was made to perform a loop ileostomy. The patient, to date, is alive and doing well with her permanent ileostomy. 



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Published Citation

Alabdulrahman M, Stuart L, Smith E, O'Connell PR. Recurrent pouch volvulus following ileoanal j-pouch anastomosis: a case report. Cureus. 2023;15(5):e39088.

Publication Date

16 May 2023

PubMed ID



  • Undergraduate Research


Cureus, Inc.


  • Published Version (Version of Record)