由于治疗不坚持而导致的妊娠中复杂的性结肠炎:一个案例呈现为疑似尾炎
Natalia Marisela Cabrera-Flores1, Luis Adrian Alvarez-Lozada2, Guillermo Elizondo-Riojas1
1Centro Universitario de Imagen Diagnóstica, Hospital Universitario "Dr. José Eleuterio González", Monterrey, MEX.
Cureus
|October 20, 2025
概括
在怀孕期间停止性结肠炎 (UC) 治疗可能会导致严重的发作,并发症,如C. difficile感染,以及对母亲/胎儿的不良后果. 迅速的多学科护理对于管理这些高风险怀孕至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 产科 产科 产科 产科 产科
- 传染性疾病 传染性疾病
背景情况:
- 性结肠炎 (UC) 是一种需要持续管理的慢性疾病.
- 怀孕和治疗不遵守在UC管理中带来了重大挑战.
- 孕妇UC患者的急性腹部疾病存在诊断复杂性.
研究的目的:
- 描述一个患有性结肠炎的孕妇患者的复杂病例.
- 为了突出在怀孕期间中断UC治疗的风险.
- 强调在怀孕期间严重UC爆发的诊断挑战和管理.
主要方法:
- 一个23岁的妇女的病例报告,她怀孕23周,原先怀孕,有UC病史.
- 诊断性腹腔镜,以评估急性腹部症状.
- 治疗严重的性结肠炎发作,C. difficile感染和相关并发症.
主要成果:
- 患者在停止治疗后经历了严重的UC爆发,感染C. difficile.
- 并发症包括肠道穿孔,胎儿死亡,凝血病和血栓事件.
- 多学科护理导致了逐渐改善和稳定的出院.
结论:
- 在怀孕期间中断UC治疗对母亲和胎儿的健康有很高的风险.
- 尾的参与可能会影响UC爆发的严重程度.
- 有效的管理需要对复杂案件采取多学科的方法.
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