An unusual cause of anal pain following ileal pouch-anal anastomosis

被引：1
作者：
Merchea, A. [1 ]
Dozois, E. J. [2 ]
机构：
[1] Mayo Clin, Dept Surg, Rochester, MN USA
[2] Mayo Clin, Div Colon & Rectal Surg, Rochester, MN 55905 USA
来源：
TECHNIQUES IN COLOPROCTOLOGY | 2013年 / 17卷 / 03期
关键词：
IPAA; Pain; IBD; Ulcerative colitis; Stapled anastomosis; QUALITY-OF-LIFE; HAND-SEWN; COMPLICATIONS; OUTCOMES;
D O I：
10.1007/s10151-011-0708-2
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Ileal pouch-anal anastomosis (IPAA) is a safe and effective operation in properly selected patients, but a variety of potential complications can occur. We present a case of a 56-year-old female who underwent a double-stapled IPAA for refractory ulcerative colitis and postoperatively developed unrelenting, severe anal pain requiring daily narcotics. Examination under anesthesia revealed that her pain was a result of staples from the anastomosis that had migrated into the highly sensitive anoderm below the dentate line. Removal of these staples led to resolution of her symptoms.
引用
收藏
页码：327 / 329
页数：3
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