title: [Caesarean section for ulcerative colitis].
abstract: We present a case of a 35-year-old patient with diagnosis of ulcerative colitis that presented failure and complications associated with medical treatment; with a report of a colonoscopy and biopsy of pancolitis with severe activity. The patient was submitted to laparoscopic restorative total proctocolectomy with ileal "J" pouch anal anastomosis. Two months later the ileostomy was reversed. The patient received progesterone at the same time she was receiving immunosuppressive drugs. This was suspended two months after the second colon surgery. The patient did not require treatment with ovulation induction to achieve pregnancy. At the fourth month of gestation, the patient developed a perianal abscess, which was successfully drained. After multidisciplinary assessment in week 38 of gestation, it was decided to perform cesarean birth as a way to not affect the ileal pouch and the anastomosis of the digestive tract. At present time, the patient has had no further complications.
authors.affiliation: Servico de Ginecologia, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, DF México.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Unda-Franco
authors.forename: Eva María
authors.initials: EM
authors.lastname: Ramírez-Avilés
authors.forename: Leonardo
authors.initials: L
authors.lastname: Moreno-de Gante
authors.forename: Quintín Héctor
authors.initials: QH
authors.lastname: González
mesh_terms: D000038:Abscess / Q000601:surgery; D000328:Adult; D017604:Cesarean Section, Repeat; D003093:Colitis, Ulcerative / Q000188:drug therapy / Q000601:surgery*; D039021:Colonic Pouches; D003131:Combined Modality Therapy; D004322:Drainage; D005260:Female; D006801:Humans; D007081:Ileostomy; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D011183:Postoperative Complications / Q000517:prevention & control; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*; D011251:Pregnancy Complications, Infectious / Q000601:surgery; D016737:Proctocolectomy, Restorative
chemical_list: D007166:Immunosuppressive Agents