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Published in: International Journal of Colorectal Disease 5/2006

01-07-2006 | Case Report

Synchronous colectomy and caesarean section for fulminant ulcerative colitis: case report and review of the literature

Authors: A. I. Haq, A. Sahai, S. Hallwoth, D. S. Rampton, S. Dorudi

Published in: International Journal of Colorectal Disease | Issue 5/2006

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Abstract

Ulcerative colitis (UC) affects women of all ages, with a peak incidence in the third and fourth decades, at the prime of their reproductive years [Baiocco PJ, Korelitz BI (1984) The influence of inflammatory bowel disease and its treatment on pregnancy and fetal outcome. J Clin Gastroenterol 6(3):211–216]. We describe a case of fulminating UC at 28 weeks' gestation treated by combined emergency subtotal colectomy and caesarean section with excellent foetal and maternal outcome. A treatment algorithm is suggested, and the literature surrounding inflammatory bowel disease in pregnancy is reviewed.
Literature
1.
go back to reference Baiocco PJ, Korelitz BI (1984) The influence of inflammatory bowel disease and its treatment on pregnancy and fetal outcome. J Clin Gastroenterol 6(3):211–216PubMed Baiocco PJ, Korelitz BI (1984) The influence of inflammatory bowel disease and its treatment on pregnancy and fetal outcome. J Clin Gastroenterol 6(3):211–216PubMed
2.
go back to reference Miller JP (1986) Inflammatory bowel disease in pregnancy: a review. J R Soc Med 79(4):221–225PubMed Miller JP (1986) Inflammatory bowel disease in pregnancy: a review. J R Soc Med 79(4):221–225PubMed
3.
go back to reference Castiglione F, Pignata S, Morace F, Sarubbi A, Baratta MA, D'Agostino L, D'Arienzo A, Mazzacca G (1996) Effect of pregnancy on the clinical course of a cohort of women with inflammatory bowel disease. Ital J Gastroenterol 28(4):199–204PubMed Castiglione F, Pignata S, Morace F, Sarubbi A, Baratta MA, D'Agostino L, D'Arienzo A, Mazzacca G (1996) Effect of pregnancy on the clinical course of a cohort of women with inflammatory bowel disease. Ital J Gastroenterol 28(4):199–204PubMed
4.
go back to reference Mogadam M, Dobbins WO III, Korelitz BI, Ahmed SW (1981) Pregnancy in inflammatory bowel disease: effect of sulfasalazine and corticosteroids on fetal outcome. Gastroenterology 80(1):72–76PubMed Mogadam M, Dobbins WO III, Korelitz BI, Ahmed SW (1981) Pregnancy in inflammatory bowel disease: effect of sulfasalazine and corticosteroids on fetal outcome. Gastroenterology 80(1):72–76PubMed
5.
go back to reference Korelitz BI (1998) Inflammatory bowel disease and pregnancy. Gastroenterol Clin North Am 27(1):213–224PubMedCrossRef Korelitz BI (1998) Inflammatory bowel disease and pregnancy. Gastroenterol Clin North Am 27(1):213–224PubMedCrossRef
6.
go back to reference Levine MG, Esser D (1988) Total parenteral nutrition for the treatment of severe hyperemesis gravidarum: maternal nutritional effects and fetal outcome. Obstet Gynecol 72(1):102–107PubMed Levine MG, Esser D (1988) Total parenteral nutrition for the treatment of severe hyperemesis gravidarum: maternal nutritional effects and fetal outcome. Obstet Gynecol 72(1):102–107PubMed
7.
go back to reference Ishijima N, Ojima E, Tonouchi H, Suzuki H, Fukunishi S (1999) Delivery of a normal newborn after intensive medical treatment for an acute exacerbation of ulcerative colitis during pregnancy: a case report. Surg Today 29(12):1257–1259CrossRefPubMed Ishijima N, Ojima E, Tonouchi H, Suzuki H, Fukunishi S (1999) Delivery of a normal newborn after intensive medical treatment for an acute exacerbation of ulcerative colitis during pregnancy: a case report. Surg Today 29(12):1257–1259CrossRefPubMed
8.
go back to reference Banks BM, Korelitz BI, Zetzel L (1957) The course of non-specific ulcerative colitis: review of twenty years' experience and late results. Gastroenterology 32(6):983–1012PubMed Banks BM, Korelitz BI, Zetzel L (1957) The course of non-specific ulcerative colitis: review of twenty years' experience and late results. Gastroenterology 32(6):983–1012PubMed
9.
go back to reference Hannan IM, Kirsner JB (1985) Inflammatory bowel disease in pregnant woman. Clin Perinatol 12:682–699 Hannan IM, Kirsner JB (1985) Inflammatory bowel disease in pregnant woman. Clin Perinatol 12:682–699
10.
go back to reference Webb MJ, Sedlack RE (1974) Ulcerative colitis in pregnancy. Med Clin North Am 58(4):823–882PubMed Webb MJ, Sedlack RE (1974) Ulcerative colitis in pregnancy. Med Clin North Am 58(4):823–882PubMed
11.
go back to reference DeVore GR (1980) Acute abdominal pain in the pregnant patient due to pancreatitis, acute appendicitis, cholecystitis or peptic ulcer disease. Clin Perinatol 7(2):349–369PubMed DeVore GR (1980) Acute abdominal pain in the pregnant patient due to pancreatitis, acute appendicitis, cholecystitis or peptic ulcer disease. Clin Perinatol 7(2):349–369PubMed
12.
go back to reference Donaldson RM (1985) Management of medical problems in pregnancy in inflammatory bowel disease. N Engl J Med 312(25):1616–1619PubMed Donaldson RM (1985) Management of medical problems in pregnancy in inflammatory bowel disease. N Engl J Med 312(25):1616–1619PubMed
13.
go back to reference Subhabi JM, Hamilton MI (1998) Review article: the management of inflammatory bowel disease during pregnancy. Aliment Pharmacol Ther 12(11):1039–1053CrossRefPubMed Subhabi JM, Hamilton MI (1998) Review article: the management of inflammatory bowel disease during pregnancy. Aliment Pharmacol Ther 12(11):1039–1053CrossRefPubMed
14.
go back to reference Cappell MS, Colon VJ, Sidhom OA (1996) A study at ten medical centres of the safety and efficacy of 48 sigmoidoscopies and 8 colonoscopies during pregnancy with follow up of fetal outcome and with comparison to control groups. Dig Dis Sci 141(12):2353–2361CrossRef Cappell MS, Colon VJ, Sidhom OA (1996) A study at ten medical centres of the safety and efficacy of 48 sigmoidoscopies and 8 colonoscopies during pregnancy with follow up of fetal outcome and with comparison to control groups. Dig Dis Sci 141(12):2353–2361CrossRef
15.
go back to reference Greenfield C, Pounder RE, Craft IL, Lewis AA (1983) Severe ulcerative colitis during successful pregnancy. Postgrad Med J 59(693):459–462PubMedCrossRef Greenfield C, Pounder RE, Craft IL, Lewis AA (1983) Severe ulcerative colitis during successful pregnancy. Postgrad Med J 59(693):459–462PubMedCrossRef
16.
go back to reference Boulton R, Hamilton M, Lewis A, Walker P, Pounder R (1994) Fulminant ulcerative colitis in pregnancy. Am J Gastroenterol 89(6):931–933PubMed Boulton R, Hamilton M, Lewis A, Walker P, Pounder R (1994) Fulminant ulcerative colitis in pregnancy. Am J Gastroenterol 89(6):931–933PubMed
17.
go back to reference Shoenut JP, Semelka RC, Silverman R, Yaffe CS, Mickflikner AB (1993) Magnetic resonance imaging in inflammatory bowel disease. J Clin Gastroenterol 17(3):244–247PubMedCrossRef Shoenut JP, Semelka RC, Silverman R, Yaffe CS, Mickflikner AB (1993) Magnetic resonance imaging in inflammatory bowel disease. J Clin Gastroenterol 17(3):244–247PubMedCrossRef
18.
go back to reference van Loon AJ, Mantingh A, Serlier EK, Kroon G, Mooyaart EL, Huisjes HJ (1997) Randomised controlled trial of magnetic-resonance pelvimetry in breech presentation at term. Lancet 350(9094):1799–1804CrossRefPubMed van Loon AJ, Mantingh A, Serlier EK, Kroon G, Mooyaart EL, Huisjes HJ (1997) Randomised controlled trial of magnetic-resonance pelvimetry in breech presentation at term. Lancet 350(9094):1799–1804CrossRefPubMed
19.
go back to reference Watson WJ, Gaines TE (1987) Third-trimester colectomy for severe ulcerative colitis a case report. J Reprod Med 32(11):869–872PubMed Watson WJ, Gaines TE (1987) Third-trimester colectomy for severe ulcerative colitis a case report. J Reprod Med 32(11):869–872PubMed
20.
go back to reference Georgy FM (1974) Fulminating ulcerative colitis in pregnancy. Obstet Gynecol 44(4):603–606PubMed Georgy FM (1974) Fulminating ulcerative colitis in pregnancy. Obstet Gynecol 44(4):603–606PubMed
21.
go back to reference Anderson JB, Turner GM, Williamson RC (1987) Fulminant ulcerative colitis in late pregnancy and the puerperium. J R Soc Med 80(8):492–494PubMed Anderson JB, Turner GM, Williamson RC (1987) Fulminant ulcerative colitis in late pregnancy and the puerperium. J R Soc Med 80(8):492–494PubMed
22.
go back to reference Kelley MJ, Hunt TM, Wicks AC, Mayne CJ (1994) Fulminant ulcerative colitis and parturition: a need to alter current management? Br J Obstet Gynaecol 101(2):166–167PubMed Kelley MJ, Hunt TM, Wicks AC, Mayne CJ (1994) Fulminant ulcerative colitis and parturition: a need to alter current management? Br J Obstet Gynaecol 101(2):166–167PubMed
23.
go back to reference Kammerer WS (1979) Non-obstetric surgery during pregnancy. Med Clin North Am 63(6):1157–1164PubMed Kammerer WS (1979) Non-obstetric surgery during pregnancy. Med Clin North Am 63(6):1157–1164PubMed
24.
go back to reference Ooi BS, Remzi FH, Fazio VW (2003) Turnbull–blowhole colostomy for toxic ulcerative colitis in pregnancy: report of two cases. Dis Colon Rectum 46(1):111–115CrossRefPubMed Ooi BS, Remzi FH, Fazio VW (2003) Turnbull–blowhole colostomy for toxic ulcerative colitis in pregnancy: report of two cases. Dis Colon Rectum 46(1):111–115CrossRefPubMed
25.
go back to reference Cooksey G, Gunn A, Wotherspoon WC (1985) Surgery for acute ulcerative colitis and toxic megacolon during pregnancy. Br J Surg 72(7):547PubMedCrossRef Cooksey G, Gunn A, Wotherspoon WC (1985) Surgery for acute ulcerative colitis and toxic megacolon during pregnancy. Br J Surg 72(7):547PubMedCrossRef
26.
go back to reference McEwan H (1972) Ulcerative colitis in pregnancy. Proc Roy Soc Med 65:279–281PubMed McEwan H (1972) Ulcerative colitis in pregnancy. Proc Roy Soc Med 65:279–281PubMed
27.
go back to reference Flatmark AL, Nordoy A, Gjone E (1971) Radical surgery for ulcerative colitis during pregnancy. Scand J Gastroenterol 6(1):45–47PubMedCrossRef Flatmark AL, Nordoy A, Gjone E (1971) Radical surgery for ulcerative colitis during pregnancy. Scand J Gastroenterol 6(1):45–47PubMedCrossRef
28.
go back to reference Bohe MG, Ekelund GR, Genell SN, Gennser GM, Jiborn HA, Leandoer LJ, Lindstrom CG, Svanberg LK (1983) Surgery for fulminating colitis during pregnancy. Dis Colon Rectum 26(2):119–122PubMedCrossRef Bohe MG, Ekelund GR, Genell SN, Gennser GM, Jiborn HA, Leandoer LJ, Lindstrom CG, Svanberg LK (1983) Surgery for fulminating colitis during pregnancy. Dis Colon Rectum 26(2):119–122PubMedCrossRef
Metadata
Title
Synchronous colectomy and caesarean section for fulminant ulcerative colitis: case report and review of the literature
Authors
A. I. Haq
A. Sahai
S. Hallwoth
D. S. Rampton
S. Dorudi
Publication date
01-07-2006
Publisher
Springer-Verlag
Published in
International Journal of Colorectal Disease / Issue 5/2006
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI
https://doi.org/10.1007/s00384-005-0027-z

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