Abstract (provisional)
Introduction
Small bowel volvulus is a rare occurrence in the Western world and its occurrence after ileo-anal ouch formation is even rarer.
Case presentation
We report a case of a 26 year old lady who presented with small bowel volvulus and subsequent ischaemia and necrosis of her ileo-anal pouch created 5 years previously.
Conclusion
This case illustrates a rare but potentially devastating complication of ileo-anal pouch formation and as such the diagnosis should be born in mind when patients with pouches present with an acute abdomen.

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