Carcinoma of pelvic pouch following restorative proctocolectomy: report of a case and review of the literature.

Abstract:

:One of the possible long-term complications following an ileoanal pouch procedure is the development of malignancy in the mucosa of the rectal stump. Only 10 such cases have been reported so far. We report the case of a 23-year-old male who had ulcerative colitis with high-grade dysplasia and underwent an ileoanal pouch procedure. He was found to have a malignancy in the rectal stump 5 years after surgery. The malignancy presented with symptoms of refractory pouchitis. Pouch excision was performed. The risk of developing malignancy in the rectal mucosa after an ileoanal pouch procedure mandates regular follow-up in these patients, with a high index of suspicion especially in patients with delayed onset pouchitis.

journal_name

Dig Surg

journal_title

Digestive surgery

authors

Negi SS,Chaudhary A,Gondal R

doi

10.1159/000068855

subject

Has Abstract

pub_date

2003-01-01 00:00:00

pages

63-5

issue

1

eissn

0253-4886

issn

1421-9883

pii

68855

journal_volume

20

pub_type

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