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CASE REPORT
Pouch pseudoaneurysm: a rare cause of recurrent haemorrhage following ileal pouch-anal anastomosis
  1. Hunaid Hatimi1,
  2. Saket Kumar1,
  3. Abhijit Chandra2,
  4. Vishal Gupta1
  1. 1Department of Surgical Gastroenterology, King George's Medical University, Lucknow, Uttar Pradesh, India
  2. 2Department of Surgical Gastroenterology, KGMC, CSMMU, Lucknow, Uttar Pradesh, India
  1. Correspondence to Professor Abhijit Chandra, abhijitchandra{at}hotmail.com

Summary

Bleeding following restorative proctocolectomy for chronic ulcerative colitis is an uncommon complication. Usually bleeding occurs from the ileal pouch-anal anastomotic site in the early postoperative period. Significant pouch bleeding in the late postoperative course is rarely encountered. A mesenteric artery pseudoaneurysm along the ileal pouch staple line may be a cause of late-presenting massive per-rectal bleed. Although a rare phenomenon, it must be considered to be a differential in such a situation.

https://doi.org/10.1136/bcr-2016-216208

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    Footnotes

    • Contributors HH, SK, AC and VG contributed to concept and design. HH, SK and AC contributed to drafting of the manuscript and critical revision. The manuscript has been read and approved by all the authors, the requirements for authorship as stated earlier in this document have been met and each author believes that the manuscript represents honest work, if that information is not provided in another form.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.