Delivery following colon interposition.
BACKGROUND
Colon interposition carries a significant complication rate due to attenuated arterial blood supply, because the interposed colon segment depends on a single vascular pedicle.


METHODS
We report for the first time five vaginal deliveries in two women following the operation, illustrating the dilemmas encountered in choosing the delivery method in these patients.


CONCLUSIONS
We suggest that vaginal delivery following colon interposition is feasible. If cesarean section has to be performed, extra care must be exercised not to damage the vascular pedicle, particularly when there is a need for mobilizing or palpating the posterior aspect of the uterus.
Jakobi
Peter
P
Department of Obstetrics and Gynecology, Rambam Medical Center and Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel. h_gruber@rambam.health.gov.il
Solt
Ido
I
Bar-Maor
Jehuda Adoniram
JA
Best
Lael-Anson
LA
D000328:Adult; D002585:Cesarean Section; D003106:Colon / Q000637:transplantation*; D004944:Esophagoplasty; D005260:Female; D006801:Humans; D011247:Pregnancy; D014219:Trial of Labor; D014620:Vacuum Extraction, Obstetrical