
Surgical management of colonic perforation due to ulcerative colitis during pregnancy: Report of a case
Author(s) -
Douglas M. Overbey
Publication year - 2014
Publication title -
world journal of gastrointestinal surgery
Language(s) - English
Resource type - Journals
ISSN - 1948-9366
DOI - 10.4240/wjgs.v6.i10.201
Subject(s) - medicine , ulcerative colitis , pregnancy , ileostomy , colectomy , perforation , surgery , inflammatory bowel disease , adverse effect , general surgery , disease , genetics , materials science , metallurgy , punching , biology
This report describes a young female in her second trimester of pregnancy with known ulcerative colitis on maintenance medical therapy. She was admitted for abdominal pain, and workup revealed a colonic stricture and ulceration with contained perforation. After multidisciplinary discussion she was managed with colectomy and end ileostomy. She delivered a healthy newborn 18 wk after surgery. Only a few prior reports described surgical management of inflammatory bowel disease during pregnancy, with recent results indicating low risk of adverse outcomes.