Image of the month. Pharmacobezoar: a rare complication after ileal pouch-anal anastomosis for ulcerative colitis.

摘要

A 34-year-old woman underwent a proctocolectomy with ileal J-pouch-anal anastomosis for refractory ulcerative colitis in 2002. She did experience frequent episodes of pouchitis treated with antibiotics and was given medications for abdominal discomfort. HyoMax-SR 0.375 mg (sustained-release hyoscyamine; Aristos Pharmaceuticals, Shampur-Kadamtali, Dhaka) was ordered to treat intestinal spasms. The patient ingested 1 tablet twice a day for 1 year before consulting us for lower abdominal pain, frequent liquid stools, and incontinence. She denied the use of any other medications during that time period Her physical exam was unremarkable. The patient declined a digital rectal examination because of discomfort.