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Recurrent small bowel obstruction secondary to a dilated Kock pouch: a case report
L Hashimoto1, D Seidner, E Steiger
1Department of General Surgery, Cleveland Clinic Foundation, Ohio 44195.
The American Surgeon
|April 1, 1995
Summary
A greatly enlarged Kock pouch caused recurrent bowel obstruction. Frequent pouch emptying relieved the obstruction, suggesting a management strategy for similar cases.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Kock pouch urinary diversion is a surgical technique used for bladder reconstruction.
- Complications can arise, including pouch dysfunction and obstruction.
Observation:
- A patient presented with recurrent episodes of bowel obstruction.
- Imaging revealed a significantly dilated Kock pouch with an estimated capacity of at least 1300 ml.
Findings:
- The bowel obstruction was directly attributed to the massively enlarged Kock pouch.
- Symptomatic relief was achieved through frequent and complete emptying of the pouch.
Implications:
- This case highlights a rare but significant complication of Kock pouch surgery.
- Conservative management with frequent pouch emptying may resolve obstruction in such cases.