Case Report
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World J Gastrointest Surg. Oct 27, 2014; 6(10): 201-203
Published online Oct 27, 2014. doi: 10.4240/wjgs.v6.i10.201
Surgical management of colonic perforation due to ulcerative colitis during pregnancy: Report of a case
Douglas Overbey, Henry Govekar, Csaba Gajdos
Douglas Overbey, Henry Govekar, Csaba Gajdos, Department of Surgery, University of Colorado, Aurora, CO 80045, United States
Author contributions: All authors were involved in the case and contributed equally to writing and reviewing the manuscript.
Correspondence to: Douglas Overbey, MD, Department of Surgery, University of Colorado, 12631 E 17th Ave, Mail Stop C302, Aurora, CO 80045, United States.
Telephone: +1-573-2257728 Fax: +1-303-7242682
Received: May 12, 2014
Revised: July 30, 2014
Accepted: September 17, 2014
Published online: October 27, 2014

This report describes a young female in her second trimester of pregnancy with known ulcerative colitis on maintenance medical therapy. She was admitted for abdominal pain, and workup revealed a colonic stricture and ulceration with contained perforation. After multidisciplinary discussion she was managed with colectomy and end ileostomy. She delivered a healthy newborn 18 wk after surgery. Only a few prior reports described surgical management of inflammatory bowel disease during pregnancy, with recent results indicating low risk of adverse outcomes.

Keywords: Inflammatory bowel disease, Ulcerative colitis, Colonic stricture, Colon perforation, Pregnancy

Core tip: Surgical management of inflammatory bowel disease flare during pregnancy are rare and infrequently reported in the literature. This case report summarizes the literature and describes a successful resection of a contained perforation and stricture secondary to ulcerative colitis flare.