Bursics A, Penninckx F, Van Olmen A, D'Hoore A, Filez L
Department of Abdominal Surgery, University Clinic Gasthuisberg, Catholic University of Leuven, Belgium.
Acta Chir Belg. 1999 Aug;99(4):169-70.
Fistula formation after restorative proctocolectomy poses a challenge to the surgeon and sometimes can lead to the excision of the pouch. A 21-year-old female patient developed an ileal J-pouch-sacral fistula with abscess and osteomyelitis of the sacrum, more than three years after the pouch construction for ulcerative colitis. Two months prior to this event, the patient had a single and transient episode of pouchitis. The role of pouchitis in the aetiopathogenesis of the fistula is unclear. To our knowledge, the late development of such a fistula has not been reported previously.
保留肛门直肠切除术术后发生瘘管形成对外科医生而言是一项挑战，有时可能导致回肠储袋切除。一名21岁女性患者在因溃疡性结肠炎行回肠储袋肛管吻合术三年多后，出现了回肠J形储袋-骶骨瘘，并伴有骶骨脓肿和骨髓炎。在此次事件发生前两个月，该患者曾有过一次短暂的储袋炎发作。储袋炎在瘘管发病机制中的作用尚不清楚。据我们所知，此前尚未有过此类瘘管晚期发生的报道。
