title: [Perforation in Crohn disease as a complication in pregnancy].
abstract: The manifestation of Crohn's disease with perforation in pregnancy has been described in one case only. In our case, a 25-year-old woman in the 28th week of pregnancy was admitted to our hospital with signs of an acute abdomen. Due to deterioration of the maternal and foetal situation, the child was delivered by a Caesarean section. Subsequently, exploration of the abdomen showed an ileum perforation with diffuse fibrinous peritonitis. In this case, the definitive diagnosis could not be made prior to laparotomy. The aim of surgical therapy in such cases should be the limited resection with end to end anastomosis. In diffuse peritonitis, discontinuous resection and secondary reconstruction after three to six months is preferred.
authors.affiliation: Klinik und Poliklinik für Allgemein- und Abdominalchirurgie, Johannes-Gutenberg-Universität Mainz.
authors.forename: E
authors.initials: E
authors.lastname: Lang
authors.forename: W
authors.initials: W
authors.lastname: Schäfer
authors.forename: K W
authors.initials: KW
authors.lastname: Steegmüller
authors.forename: M
authors.initials: M
authors.lastname: Höckel
authors.forename: T
authors.initials: T
authors.lastname: Junginger
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology / Q000601:surgery*; D000328:Adult; D002585:Cesarean Section; D003424:Crohn Disease / Q000601:surgery*; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000601:surgery*; D007081:Ileostomy; D007231:Infant, Newborn; D007416:Intestinal Perforation / Q000601:surgery*; D008297:Male; D010538:Peritonitis / Q000601:surgery; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*
vernacular_title: Die Perforation bei Morbus Crohn als Komplikation in der Schwangerschaft.