Procedure of choice in ulcerative colitis with acute perforation is:: (A) Defunctioning ileostomy, (B) Closure of perforation, (C) Proximal diversion colostomy, (D) Total colectomy and ileostomy
Answer is D. Ulcerative colitis: Mx: SxOC: Total Proctocolectomy + Ileal pouch anal anastomoses. Mc type of pouch - J-shaped pouch SxOC Elderly with high risk of leak - Ileostomy SxOC perforation - Total colectomy + Ileostomy