PMC5733182_01
CT scan showing thickening and stranding of the J-pouch and rectum, with obliteration of the rectal fat planes, along with mesenteric lymphadenopathy. There was proximal dilatation with partial air-fluid levels within the small bowel, concerning for partial obstruction.
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CT scan (Figure 1) showed thickening and stranding of the J-pouch and rectum, with obliteration of the rectal fat planes, along with mesenteric lymphadenopathy.
A flexible sigmoidoscopy shows inflamed mucosa with ulceration and adherent mucus. A large foreign object was visualized in the pouch.
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A flexible sigmoidoscopy (Figure 2) showed inflamed mucosa with ulceration and adherent mucus.
The mesh extracted from the J-pouch retaining tacks and sutures attached from the original placement one year previously.
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The patient was then taken to the operating room for pouch exam under anesthesia where the foreign body was removed in its entirety (Figure 3).