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Manganiello details 7-year autoimmune battle, emergency intestine removal in new memoir

Source: ABC News · All ABC News reports

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Summary

The ABC News segment features Joe Manganiello discussing his new memoir "Bloodlines," in which he reveals a previously undisclosed 7-year battle with an undiagnosed autoimmune disorder that began shortly after his 2015 marriage to Sofia Vergara. He describes severe symptoms including abdominal pain, rectal bleeding, fevers and fatigue, leading to a 2016 emergency surgery removing his septic large intestine while he was unconscious; Vergara authorized the procedure that saved his life but left him with an ostomy bag and significant weight loss. Manganiello opens up about suicidal thoughts, handing over his gun, fears of pain medications as a recovering addict, career setbacks, and how the illness contributed to the end of the marriage and shelved plans for children. The interview ends on a positive note with his current remission, engagement to Caitlin O'Connor, and lessons about identity beyond physical health or fame.

Sourcing centers on Manganiello's firsthand account from the memoir (released Oct. 13, 2026), with clips from his roles and direct interview responses; no independent medical records or named physicians are shown. Vergara did not respond to ABC's request for comment on his claims, though her son's Instagram post about "narcissistic men" (which she reposted) is referenced as media speculation. The throughline emphasizes resilience, hidden struggles behind celebrity image, and finding purpose after crisis.

Editorial Assessment

The broadcast accurately conveys the key facts of Manganiello's health ordeal as detailed in his memoir and corroborated by People and other outlets, including the undiagnosed nature of the autoimmune cascade, the emergency surgery details, and his 60-lb weight loss. Claims hold up well against primary reporting from the book excerpts, though the absence of a confirmed specific diagnosis (common in complex autoimmune cases) leaves some medical ambiguity that the segment acknowledges. Framing leans sympathetic to Manganiello's perspective, presenting his view that illness strained the marriage and altered family plans while noting Vergara's non-response and her prior public comments attributing the split to differing desires for children; viewers miss fuller context on Vergara's side, including reports she supported him through appointments and shamanic healing before the relationship reportedly became emotionally distant. The personal revelations about suicidal ideation and addiction fears add depth but could skew perception toward seeing the divorce solely through his lens. Overall a solid, well-produced celebrity interview that promotes the memoir without sensationalism, though it would benefit from more independent medical perspective on remission after ostomy reversal.

Key Moments

verified

Manganiello battled an undiagnosed autoimmune disorder for 7 years that nearly killed him, causing 60-lb weight loss and requiring emergency removal of his large intestine in 2016

Corroborated in detail by People excerpts from "Bloodlines," multiple interviews, and medical reporting; intestine had turned to pus and was septic.

verified

While unconscious in 2016, Vergara was given the choice and authorized the surgery that removed his large intestine, saving his life

Directly from Manganiello's memoir excerpt and interviews; he credits her decision and says it bought time though diagnosis remained elusive.

verified

Illness led to suicidal thoughts; he gave his gun to Vergara to hide it

Stated in the ABC interview and reported from the memoir; he discusses it as necessary to address openly.

missing context

The illness ultimately contributed to the divorce from Vergara; they never resumed trying for children after he recovered because certain things are meant for certain times

His perspective from the book disputes Vergara's 2024 statement that the split was over his desire for kids while she did not want to be an "old mom"; she has not directly responded but reposted content alluding to narcissistic behavior.

verified

His condition is now in remission; he is off medications, symptom-free after reconstructive surgery, and open to having children with fiancée Caitlin O'Connor

Consistent across People, EW, and his interviews; a gastroenterologist not involved in his care noted autoimmune diseases can remit.

Notable Concerns

  • One-sided account of marriage and divorce with no direct response from Vergara beyond cryptic social media
  • Undiagnosed condition limits verifiability of exact medical claims beyond symptoms and surgery
  • Mixing of memoir promotion with personal disclosures may encourage speculation on family matters

Sources Consulted

  1. Joe Manganiello Describes 2016 Surgery That Left Him with an Ostomy Bag (Exclusive Excerpt)
  2. Joe Manganiello Reveals 7-Year Battle with Near-Fatal Autoimmune Disease (Exclusive)
  3. Joe Manganiello unpacks his health scare in memoir, ‘Bloodlines’
  4. Bloodlines | Book by Joe Manganiello | Official Publisher Page
  5. Sofía Vergara’s Son Manolo Seemingly Responds to Joe Manganiello’s Memoir
  6. Joe Manganiello addresses ex-wife Sofía Vergara’s ‘narcissistic man’ post
  7. Joe Manganiello Claims Sofia Vergara Refused Hug During Illness
  8. Who Is Joe Manganiello’s Fiancée? All About Caitlin O’Connor