Long-Axis Rotational Volvulus in a W Ileoanal Pouch: An Unusual but Potentially Preventable Problem. Report of a Case

Abstract

Acute necrosis of the ileoanal pouch caused by long-axis rotational volvulus is an important, but uncommon, cause of life-threatening acute abdomen after restorative proctocolectomy. Prophylactic pouchpexy at the time of pouch construction or salvage pouchpexy after early diagnosis of the at-risk pouch are important considerations to avoid loss of the pouch.