Secondary pouchitis in a post-operative patient with ulcerative colitis, successfully treated by salvage surgery

Figure 1 Pouchoscopy shows inflamed hemorrhagic mucosa. An apical bridge is seen (arrow head).

Figure 2 Pouchography shows a blind loop 10 cm in length (arrow head) and apical bridge formation (arrow).

Figure 3 Superior mesenteric arteriography shows a marginal disconnection of the arcade (superior mesenteric artery–ileocolic artery) (arrow).

Figure 4 A: Mucosectomy and ileal pouch excision; B: side to side anastomosis of blind loop by linear stapler; C: reconstruction of a new ileal pouch; D: re-ileal pouch anal anastomosis.