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Related Experiment Videos

Severe ulcerative colitis during successful pregnancy.

C Greenfield, R E Pounder, I L Craft

    Postgraduate Medical Journal
    |July 1, 1983
    PubMed
    Summary
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    Fulminant colitis during pregnancy is challenging. This case highlights successful colectomy after caesarian delivery, ensuring survival for both mother and child.

    Area of Science:

    • Gastroenterology
    • Obstetrics
    • Surgical Management

    Background:

    • Fulminant colitis poses significant risks during pregnancy.
    • Management is complicated by the gravid uterus, often necessitating delayed surgical intervention.

    Observation:

    • A 31-year-old primigravida presented with severe colitis at 27 weeks gestation.
    • Medical therapy failed, but colectomy was deferred due to the pregnancy.

    Findings:

    • A healthy infant was delivered via caesarean section at 32 weeks gestation.
    • Postpartum, the patient developed transient colonic dilatation secondary to ileus.
    • Colectomy was successfully performed 10 days postpartum.

    Implications:

    Related Experiment Videos

  • This case highlights the successful, albeit delayed, surgical management of fulminant colitis in pregnancy.
  • It underscores the importance of a multidisciplinary approach involving gastroenterology, obstetrics, and surgery.
  • Delayed colectomy postpartum can be a safe and effective strategy in selected cases.