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

A. Merchea, Eric Dozois

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)327-329
Number of pages3
JournalTechniques in Coloproctology
Volume17
Issue number3
DOIs
StatePublished - Jun 1 2013

Fingerprint

Colonic Pouches
Pain
Narcotics
Ulcerative Colitis
Anesthesia

Keywords

  • IBD
  • IPAA
  • Pain
  • Stapled anastomosis
  • Ulcerative colitis

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

Cite this

An unusual cause of anal pain following ileal pouch-anal anastomosis. / Merchea, A.; Dozois, Eric.

In: Techniques in Coloproctology, Vol. 17, No. 3, 01.06.2013, p. 327-329.

Research output: Contribution to journalArticle

@article{a3a52db56ff2497f8c238b7ddfcb7737,
title = "An unusual cause of anal pain following ileal pouch-anal anastomosis",
abstract = "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.",
keywords = "IBD, IPAA, Pain, Stapled anastomosis, Ulcerative colitis",
author = "A. Merchea and Eric Dozois",
year = "2013",
month = "6",
day = "1",
doi = "10.1007/s10151-011-0708-2",
language = "English (US)",
volume = "17",
pages = "327--329",
journal = "Techniques in Coloproctology",
issn = "1123-6337",
publisher = "Springer-Verlag Italia",
number = "3",

}

TY - JOUR

T1 - An unusual cause of anal pain following ileal pouch-anal anastomosis

AU - Merchea, A.

AU - Dozois, Eric

PY - 2013/6/1

Y1 - 2013/6/1

N2 - 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.

AB - 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.

KW - IBD

KW - IPAA

KW - Pain

KW - Stapled anastomosis

KW - Ulcerative colitis

UR - http://www.scopus.com/inward/record.url?scp=84878611893&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84878611893&partnerID=8YFLogxK

U2 - 10.1007/s10151-011-0708-2

DO - 10.1007/s10151-011-0708-2

M3 - Article

C2 - 21735227

AN - SCOPUS:84878611893

VL - 17

SP - 327

EP - 329

JO - Techniques in Coloproctology

JF - Techniques in Coloproctology

SN - 1123-6337

IS - 3

ER -