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A 42-year-old asymptomatic woman has a persistent pouch vaginal fistula, as noted on a pouchogram 3 months after an ileal pouch–anal anastomosis in preparation for a diverting loop ileostomy reversal. Examination under anesthesia reveals no undrained sepsis, normal pouch mucosa, and a fistula with a discrete area of erythema at the pouch anal anastomosis. A biopsy demonstrates Paneth cell reaction, granulation tissue, and active inflammation. What is the best next step?
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Citation
"" ASCRS Question Bank, ASCRS U, www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717129/all/Benign_Disease. Accessed 22 April 2026.
ASCRS Question Bank. https://www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717129/all/Benign_Disease. Accessed April 22, 2026.
In ASCRS Question Bank https://www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717129/all/Benign_Disease
[Internet]. In: ASCRS Question Bank. [cited 2026 April 22]. Available from: https://www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717129/all/Benign_Disease.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 -
ID - 3717129
BT - ASCRS Question Bank
UR - https://www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717129/all/Benign_Disease
DB - ASCRS U
DP - Unbound Medicine
ER -
ASCRS Question Bank

