title: A free terminal ileal perforation from active crohn disease in pregnancy: a diagnostic challenge.
abstract: The surgical management of the complications of Crohn disease is often challenging. These difficulties are compounded in pregnancy by competing interests of the mother and the baby. In this report, we describe the presentation and surgical management of a patient in her second trimester with active Crohn disease who required emergent surgical intervention. She had presented with the uncommon complication of a free perforation in the presence of active untreated disease.
authors.affiliation: Department of Surgery, Providence Hospital, St. John Providence Health, Southfield, Michigan, USA.
authors.forename: Sunu
authors.initials: S
authors.lastname: Philip
authors.forename: Armin
authors.initials: A
authors.lastname: Kamyab
authors.forename: Paraskevi
authors.initials: P
authors.lastname: Orfanou
mesh_terms: D000328:Adult; D003424:Crohn Disease / Q000150:complications*; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D007082:Ileum / Q000601:surgery; D007416:Intestinal Perforation / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D011262:Pregnancy Trimester, Second
keywords: Crohn disease; ileal perforation; peritonitis; pregnancy