Department of Surgery, Mayo Clinic, Rochester, MN, USA.
Tech Coloproctol. 2013 Jun;17(3):327-9. doi: 10.1007/s10151-011-0708-2. Epub 2011 Jul 7.
Ileal pouch-anal anastomosis (IPAA) is a safe and effective operation in properly selected patients, but a variety of potential complications can occur. We present a case of a 56-year-old female who underwent a double-stapled IPAA for refractory ulcerative colitis and postoperatively developed unrelenting, severe anal pain requiring daily narcotics. Examination under anesthesia revealed that her pain was a result of staples from the anastomosis that had migrated into the highly sensitive anoderm below the dentate line. Removal of these staples led to resolution of her symptoms.
回肠贮袋肛管吻合术（IPAA）在选择合适的患者中是一种安全有效的手术，但可能会发生多种潜在并发症。我们报告了一例 56 岁女性，因难治性溃疡性结肠炎接受双吻合器 IPAA 手术后出现持续严重的肛门疼痛，需要每天使用麻醉性镇痛药。在麻醉下检查发现，她的疼痛是由于吻合口的吻合钉迁移到齿线以下高度敏感的肛门内层引起的。移除这些吻合钉后，她的症状得到缓解。
