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Pregnancy-onset inflammatory bowel disease: A case report.
Maya Deeb1,2, Parul Tandon1,2, Vivian Huang1,2
1Department of Medicine, University of Toronto, Toronto, ON, Canada.
Obstetric Medicine
|February 17, 2025
Summary
Pregnancy-onset inflammatory bowel disease (POIBD) requires high clinical suspicion due to delayed diagnosis risks. Prompt management is crucial to prevent severe maternal and neonatal complications, improving outcomes for both.
Area of Science:
- Gastroenterology
- Obstetrics
- Internal Medicine
Background:
- Pregnancy-onset inflammatory bowel disease (POIBD) is rare, with limited data on its clinical course and outcomes.
- POIBD is associated with diagnostic delays and higher hospitalization rates compared to non-pregnant patients.
Purpose of the Study:
- To highlight the challenges in diagnosing and managing POIBD.
- To underscore the importance of timely intervention for maternal and fetal well-being.
Main Methods:
- Case report of a 29-year-old pregnant patient with acute severe ulcerative colitis.
- Review of clinical presentation, diagnostic delays, complications, and outcomes.
Main Results:
- The patient experienced delayed diagnosis and therapy, leading to colonic perforation and colectomy.
- Complications included prolonged hospitalization and neonatal prematurity.
- This case emphasizes the need for a high index of suspicion for POIBD.
Conclusions:
- Early diagnosis and prompt inpatient management are critical for preventing severe maternal and neonatal morbidity in POIBD.
- Advocacy for timely investigations in pregnant patients with gastrointestinal symptoms is essential.
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