Published online Oct 27, 2014. doi: 10.4240/wjgs.v6.i10.201
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.
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.