Summary
A summary of a 21-year-old male patient's medical history and current symptoms following a laparoscopic completion proctectomy with IPAA J pouch.
Clinical Summary of 21-Year-Old Patient with Post-Surgical J Pouch Complications
Highlights
Medical Background
The patient is a 21-year-old male with a history of medically refractory ulcerative colitis. He underwent a laparoscopic total colectomy in May 2025 and a subsequent completion proctectomy with IPAA J pouch and diverting loop ileostomy in February 2026. He has had multiple hospitalizations for J pouch-related complications.
Current Symptoms
The patient reports worsening left-sided rectal pain over the last two weeks following the completion of an antibiotic course. The pain is characterized as sharp and stabbing, aggravated by walking and bowel movements, and is significantly impacting his sleep and daily functioning.