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Case Reports
. 2022 Jun 23;9(6):e00805.
doi: 10.14309/crj.0000000000000805. eCollection 2022 Jun.

Childbearing and Delivery in Women With Ulcerative Colitis and Ileostomy or Ileal Pouch-Anal Anastomosis

Michele Campigotto  1 , Andrea Braini  2 , Maria Maddalena Casarotto  3 , Saveria Lory Crocè  1   4 , Renato Sablich  5
Affiliations
Case Reports

Childbearing and Delivery in Women With Ulcerative Colitis and Ileostomy or Ileal Pouch-Anal Anastomosis

Michele Campigotto et al. ACG Case Rep J. .

Abstract

No detailed information is currently available about the management of pregnancy and delivery in patients with a stoma after colectomy for ulcerative colitis. We describe the case of a young pregnant woman with terminal ileostomy after toxic megacolon. Episodes of stoma occlusion, determined by the enlargement of the uterus, were treated with endoscopic decompression and daily assumption of oral laxatives, making possible to avoid surgery and carry pregnancy on until caesarean section was performed at week 37. Fertility issues, facing pregnancy with ileostomy rather than with ileal pouch-anal anastomosis, and choice of caesarean section rather than vaginal delivery are discussed.

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Figures

Figure 1.
Figure 1.
Colonoscopy showing endoscopic Mayo 3 inflammation in the upper colonic segments.
See this image and copyright information in PMC

References

    1. Nguyen GC, Seow CH, Maxwell C, et al. . The Toronto consensus statements for the management of inflammatory bowel disease in pregnancy. Gastroenterology. 2016;150:734–57. - PubMed
    1. Candido FG, Fiorino G, Spadaccini M, et al. . Are surgical rates decreasing in the biological era in IBD? Curr Drug Targets . 2019;20:1356–62. - PubMed
    1. Lee S, Crowe M, Seow CH, et al. . The risk of infertility in women with IBD who have had surgery. Cochrane Database Syst Rev. 2019(7):CD012711. - PMC - PubMed
    1. Tulchinsky H, Averboukh F, Horowitz N, et al. . Restorative proctocolectomy impairs fertility and pregnancy outcomes in women with ulcerative colitis. Colorectal Dis. 2013;15:842–7. - PubMed
    1. Cornish J Tan E,Teare J et al. . Effect of restorative proctocolectomy on sexual function, urinary function, fertility, pregnancy and delivery: A systematic review. Dis Colon Rectum. 2007;50:1128–38. - PubMed

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