Traumatic J-Pouch Perforation following a Blunt Abdominal Injury

A 46-year-old male was admitted to the trauma department after a motor vehicle accident. He presented with severe abdominal pain and a distended abdomen with peritonitis. His past surgical history included total proctocolectomy with ileal J-pouch anal anastomosis for ulcerative colitis 20 years prev...

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Main Authors: Leonid Drober, David Hochstein, Hany Bahouth
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2021/6686964
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author Leonid Drober
David Hochstein
Hany Bahouth
author_facet Leonid Drober
David Hochstein
Hany Bahouth
author_sort Leonid Drober
collection DOAJ
description A 46-year-old male was admitted to the trauma department after a motor vehicle accident. He presented with severe abdominal pain and a distended abdomen with peritonitis. His past surgical history included total proctocolectomy with ileal J-pouch anal anastomosis for ulcerative colitis 20 years previously. Computed tomography showed free peritoneal air and fluid in the abdomen mandating an exploratory laparotomy. A perforation at the ileal J-pouch blind end was found. Primary closure with diverting loop ileostomy was performed. The patient had an uneventful recovery and underwent closure of the ileostomy two months later. The case and management are discussed after reviewing the literature.
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series Case Reports in Surgery
spelling doaj-art-ba0d6f0e55ed4f51abe801e8f98446c02025-02-03T01:24:43ZengWileyCase Reports in Surgery2090-69002090-69192021-01-01202110.1155/2021/66869646686964Traumatic J-Pouch Perforation following a Blunt Abdominal InjuryLeonid Drober0David Hochstein1Hany Bahouth2Department of General Surgery, Rambam Medical Center and the Ruth and Bruce Rappaport Faculty of Medicine, Technion–Institute of Technology, Haifa, IsraelDepartment of General Surgery, Rambam Medical Center and the Ruth and Bruce Rappaport Faculty of Medicine, Technion–Institute of Technology, Haifa, IsraelDepartment of General Surgery, Rambam Medical Center and the Ruth and Bruce Rappaport Faculty of Medicine, Technion–Institute of Technology, Haifa, IsraelA 46-year-old male was admitted to the trauma department after a motor vehicle accident. He presented with severe abdominal pain and a distended abdomen with peritonitis. His past surgical history included total proctocolectomy with ileal J-pouch anal anastomosis for ulcerative colitis 20 years previously. Computed tomography showed free peritoneal air and fluid in the abdomen mandating an exploratory laparotomy. A perforation at the ileal J-pouch blind end was found. Primary closure with diverting loop ileostomy was performed. The patient had an uneventful recovery and underwent closure of the ileostomy two months later. The case and management are discussed after reviewing the literature.http://dx.doi.org/10.1155/2021/6686964
spellingShingle Leonid Drober
David Hochstein
Hany Bahouth
Traumatic J-Pouch Perforation following a Blunt Abdominal Injury
Case Reports in Surgery
title Traumatic J-Pouch Perforation following a Blunt Abdominal Injury
title_full Traumatic J-Pouch Perforation following a Blunt Abdominal Injury
title_fullStr Traumatic J-Pouch Perforation following a Blunt Abdominal Injury
title_full_unstemmed Traumatic J-Pouch Perforation following a Blunt Abdominal Injury
title_short Traumatic J-Pouch Perforation following a Blunt Abdominal Injury
title_sort traumatic j pouch perforation following a blunt abdominal injury
url http://dx.doi.org/10.1155/2021/6686964
work_keys_str_mv AT leoniddrober traumaticjpouchperforationfollowingabluntabdominalinjury
AT davidhochstein traumaticjpouchperforationfollowingabluntabdominalinjury
AT hanybahouth traumaticjpouchperforationfollowingabluntabdominalinjury