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Fig. 2B —50-year-old woman with stricture at ileoanal anastomosis
after total proctocolectomy and ileal pouch–anal anastomosis for
ulcerative colitis. Frontal spot image of pelvis from repeat water-soluble
contrast enema after takedown of ileostomy shows continued stricture at
ileoanal anastomosis (arrow) with marked dilatation of ileal pouch
and reflux of contrast material into dilated loops of distal ileum. This
patient presented with symptoms of obstruction (nausea, vomiting, and
abdominal distention) after ileostomy closure.
