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Case Reports
. 2014 Oct 27;6(10):201-3.
doi: 10.4240/wjgs.v6.i10.201.

Surgical management of colonic perforation due to ulcerative colitis during pregnancy: Report of a case

Douglas Overbey  1 , Henry Govekar  1 , Csaba Gajdos  1
Affiliations
Case Reports

Surgical management of colonic perforation due to ulcerative colitis during pregnancy: Report of a case

Douglas Overbey et al. World J Gastrointest Surg. .

Abstract

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.

Keywords: Colon perforation; Colonic stricture; Inflammatory bowel disease; Pregnancy; Ulcerative colitis.

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Figures

Figure 1
Figure 1
Computed tomography scan images revealing the strictured segment (A) and adjacent phlegmon (B).
Figure 2
Figure 2
Colonoscopic images showing the strictured segment (arrow) and mucosal inflammation.
See this image and copyright information in PMC

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