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CASE REPORT
Ileal pouch functional outlet obstruction
  1. Kyra Sierakowski1,
  2. Philippa Rabbitt2,
  3. David Wattchow2,3
  1. 1Women's & Children's Hospital, North Adelaide, South Australia, Australia
  2. 2Flinders Medical Centre, Adelaide, South Australia, Australia
  3. 3Flinders University, Adelaide, South Australia, Australia
  1. Correspondence to Dr Kyra Sierakowski, kyra.sierakowski{at}sa.gov.au

Summary

Small bowel obstructions (SBOs) are common in patients who have undergone Ileal J-pouch-anal anastomosis (IPAA) surgery. SBO may be caused by stenosis of the diverting ileostomy, volvulus, internal hernia, adhesive bands, anastomotic stricture 1 or intra-abdominal adhesions. 2 Functional outlet obstruction is an important alternative diagnosis to consider in a patient post-IPAA presenting with obstructive symptoms. Recognition of this condition can prevent unnecessary surgery and save the patient from presenting repeatedly with obstructive symptoms.

https://doi.org/10.1136/bcr-2015-212979

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