For individuals suffering from severe refractory ulcerative colitis (UC) who are unresponsive to medical treatment, a total proctocolectomy and ileal pouch-anal anastomosis (IPAA) surgery is the gold-standard treatment. However, its complications include anastomotic leaks, pelvic or perianal abscesses, and rare complications such as pouch volvulus. To our knowledge, there is a scarcity of case reports on patients with, specifically, a recurrent pouch volvulus. We present a case of a 57-year-old female with refractory UC who had undergone this treatment with no initial complications; 15 years later, she presented with intermittent bouts of obstruction. An exploratory laparotomy was performed; however, no adhesions or necrosis were found. Following investigations, pouch volvulus was confirmed. She subsequently underwent four endoscopic decompressions in the same year and ultimately received an enteropexy of the pouch. The volvulus reoccurred and, ultimately, the decision was made to perform a loop ileostomy. The patient, to date, is alive and doing well with her permanent ileostomy.

Introduction: Choriocarcinoma is a fast-growing, malignant, and rare gestational trophoblastic tumour. Although the prognosis of this tumour is very good, serious complications such as preeclampsia and haemorrhagic shock can occur. Case Presentation: A 31-year-old female patient, who was diagnosed with choriocarcinoma, returned to the hospital with severe abdominal pain a few days after her first cycle of chemotherapy treatment. Upon further examination, the presence of free fluid in her abdomen and high β-hCG levels were identified. Consequently, an emergency laparotomy was performed discovering that the uterine tumour, which was adherent to the right colon and appendix, had ruptured. A total hysterectomy and right oophorectomy were performed, and the patient is now doing well. Conclusions: This case elucidates the need for improved diagnostic methods and classification systems along with swift management of gestational trophoblastic diseases.