Unraveling Twisted Pouch Syndrome

Treating a patient with obstructive defecation and severe pelvic pain after ileal pouch-anal anastomosis, Cleveland Clinic colorectal surgeon Stefan Holubar uncovered a subtle but significant complication that warrants greater awareness among those performing IPAAs.

Case Study: When a J-Pouch Redo is Needed

The dramatic case of a 48-year-old woman who underwent an IPAA and diverting loop ileostomy for FAP elsewhere. She presents with liquid stool coming out of her vagina and severe pain. Dr. Sherief Shawki provides a deep dive into the case.