Thursday, 23 April 2009
panproctocolectomy for severe perianal crohns with rectus abdominis flap reconstruction
A man in his 30s presented with a history of 18 years of crohns disease confined to his colon and rectum with a watering can anus. He was unresponsive to medical treatment and continued to smoke
The colon was fully mobilized and extensive excision of peranal skin affected by multiple fistulae performed. The colon, rectum and anus were removed from the perineum.
This left a big defect!