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Surgical Case Reports
Fig. 2 | Surgical Case Reports

Fig. 2

From: Two-time perforation of the ileal J-pouch 6 and 18 years after restorative proctocolectomy and ileal pouch–anal anastomosis for familial adenomatous polyposis: a case report

Fig. 2

Schemes of the operation. a Operation during the first perforation. A 2-mm perforation at the top of the pouch was resected using a stapler ①. An anastomotic stricture was observed, and it was manually dilated to 20 mm in diameter ②. b Operation during the second perforation. A 2-mm perforation at the top of the pouch was once again observed and primary repair was performed ③. Temporary loop ileostomy was performed

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