An unusual cause of anal pain following ileal pouch-anal anastomosis

A. Merchea, E. J. Dozois

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish (US)
Pages (from-to)327-329
Number of pages3
JournalTechniques in Coloproctology
Issue number3
StatePublished - Jun 2013


  • IBD
  • IPAA
  • Pain
  • Stapled anastomosis
  • Ulcerative colitis

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology


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