Short bowel syndrome causing bleeding diathesis and profound vitamin deficiency in pregnancy.
BACKGROUND
Extensive bowel resection may lead to a state of inadequate nutrient absorption and malnutrition known as short bowel syndrome. Deficiencies in fat-soluble vitamins may occur from this condition, with sequelae such as a bleeding diathesis. Maternal vitamin deficiencies also have been associated with fetal anomalies.


METHODS
A young gravid patient with a history of neonatal bowel resection presented with bleeding diathesis. She subsequently was found to have profound vitamin deficiencies and delivered a newborn with multiple anomalies.


CONCLUSIONS
Preconceptional counseling, nutritional status evaluation, and concomitant management with a gastroenterologist are essential to optimize pregnancy outcome for patients with a history of extensive bowel resection.
Department of Obstetrics, Gynecology, and Women's Health, Division of Maternal-Fetal Medicine, St. Louis University, St. Louis, Missouri, USA. rabosc@slu.edu
Shannon
S
Grabosch
Jenny
J
Pennycook
Ali
A
Pakravan
Dorothea
D
Mostello
D000015:Abnormalities, Multiple / Q000209:etiology*; D000328:Adult; D004198:Disease Susceptibility / Q000209:etiology; D005260:Female; D006417:Hematuria / Q000209:etiology; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology; D007231:Infant, Newborn; D007415:Intestinal Obstruction / Q000150:complications; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology; D012272:Ribs / Q000002:abnormalities; D012778:Short Bowel Syndrome / Q000150:complications*; D006475:Vitamin K Deficiency Bleeding / Q000188:drug therapy / Q000209:etiology*; D014815:Vitamins / Q000627:therapeutic use
D014815:Vitamins