Figure 1.
1a: Abdominal radiograph showing dilated loops of small bowel proximal to ileal J-pouch
1b: Water-soluble contrast enema demonstrating an acute obstruction of contrast demonstrating a “bird-beak sign”, measured to be 12 centimeters from the anal verge
1c: Transanal flexible endoscopy exhibiting mucosal twisting leading to significant narrowing of the mid-pouch lumen 12 centimeters from the anal verge.
