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02-20-2013, 01:36 PM
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Removal of Entire Colon
This procedure is called panproctocolectomy: The entire colon, rectum and anus will be removed. 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 so a vertical rectus abdominis flap was raised based on inferior epigastic vessels (forceps pointing to these) The flap was rotated around and placed in perineum to fill the defect. The patient went home 9 days after the operation with all healed (and with a stoma). I've searched a lot trying to find out what a watering can anus is. After reading a LOT of medical publications to find out what a "watering can anus" is, I finally found out: Due to the inflammations, the body makes a couple of holes beside the anus (anal fissures). All those holes are in contact with the rectum, colon or even the small intestine. So, when the patient poops all the faeces leave the body through ALL those holes. (And it looks just like watering your plants with a watering can; the only downside is it's not water but poop ) When these holes are in contact with the colon or the small intestine, then all these tiny anuses are leaking faecal matter throughout the day and night though... ![]() ![]() ![]() ![]() ![]() |