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Ischaemic colitis diagnosed by sigmoidoscopy during pregnancy.
Tsubasa Ito1, Kazuki Takasaki2, Minori Takada1
1Department of Obstetrics and Gynecology, Self Defense Force Sapporo Hospital, Sapporo, Japan.
BMJ Case Reports
|May 5, 2021
Summary
Ischaemic colitis in pregnancy is treatable. Early diagnosis and multidisciplinary care led to a full recovery for a pregnant patient with abdominal pain and bloody diarrhea.
Area of Science:
- Gastroenterology
- Obstetrics
- Vascular Medicine
Background:
- Pregnancy presents unique challenges for diagnosing gastrointestinal conditions.
- Ischaemic colitis, a condition affecting the colon, can occur during pregnancy.
- Early recognition is crucial for effective management.
Observation:
- A 21-year-old pregnant woman presented with lower abdominal pain and bloody diarrhea at 19 weeks gestation.
- Endoscopic examination revealed characteristic signs of ischaemic colitis in the sigmoid colon.
Findings:
- The patient was diagnosed with pregnancy-related ischaemic colitis.
- Conservative management, including bowel rest and intravenous fluids, resulted in a complete recovery.
- No recurrence was observed during the remainder of the pregnancy and postpartum period.
Implications:
- This case highlights the importance of prompt diagnosis and treatment of ischaemic colitis in pregnant individuals.
- Effective management requires a collaborative, multidisciplinary approach involving obstetricians and gastroenterologists.
- Successful conservative treatment can lead to favorable maternal and fetal outcomes.
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