Synchronous colectomy and caesarean section for fulminant ulcerative colitis: case report and review of the literature.
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.
Haq
A I
AI
Academic Department of Surgery, Royal London Hospital, London, E1 1BB, UK. asifhaq7@hotmail.com
Sahai
A
A
Hallwoth
S
S
Rampton
D S
DS
Dorudi
S
S
D000328:Adult; D002585:Cesarean Section; D003082:Colectomy; D003093:Colitis, Ulcerative / Q000601:surgery*; D005260:Female; D006801:Humans; D011247:Pregnancy