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Fig. 3B 27-year-old woman with stricture at ileoanal anastomosis
after total proctocolectomy and ileal pouchanal anastomosis for
ulcerative colitis. Lateral spot image of pelvis from repeat water-soluble
contrast enema after takedown of ileostomy shows continued stricture at
ileoanal anastomosis (arrow), with dilatation of ileal pouch and
retained debris in pouch. This patient presented with symptoms of obstruction
(constipation and pelvic pain) after ileostomy closure.