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Newly Diagnosed Ulcerative Colitis in the Third Trimester: A Case Report.
Arley K Rodriguez1, Sean M Muir2, Lindsay Tjiattas-Saleski3
1Obstetrics and Gynecology, Edward Via College of Osteopathic Medicine, Spartanburg, USA.
Cureus
|October 30, 2023
Summary
This case highlights a rare diagnosis of ulcerative colitis in a pregnant patient. Early diagnosis and management are crucial for preventing adverse pregnancy outcomes like premature birth.
Area of Science:
- Gastroenterology and Obstetrics
Background:
- Ulcerative colitis (UC) is a chronic inflammatory bowel disease (IBD) causing colon inflammation.
- UC is rarely diagnosed during pregnancy, with quiescent disease seldom becoming active.
Observation:
- This case details a rare presentation of primary ulcerative colitis diagnosed in a 22-year-old multiparous patient during pregnancy.
- The patient presented with symptoms that initially suggested a less severe condition.
Findings:
- Active ulcerative colitis during pregnancy can lead to adverse outcomes, including premature delivery and low birth weight.
- Literature suggests disease amelioration is common in the second and third trimesters for pregnant individuals with UC.
Implications:
- Highlights the importance of a broad differential diagnosis in pregnant patients presenting with gastrointestinal symptoms.
- Emphasizes the need for vigilant monitoring and timely intervention for inflammatory bowel disease in pregnancy.
Keywords:
c-sectionnausea and vomiting in pregnancypreterm deliverythird trimester of pregnancyulcerative colitisMore Related Videos
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