DOI: 10.25881/BPNMSC.2019.98.37.030

Authors

Rymashevsky A.N.1, Volkov A.E.1, Latynin A.N.2, Guseva N.P.1, Nikitina E.S.1

1 GBOU VO «Rostov State Medical University» Russian Ministry of Health Department of Obstetrics and Gynecology № 1, Rostov-on-Don

2 MBUZ «City Hospital № 20», Rostov-on-Don

Abstract

The article describes the clinical case of ulcerative colitis, which debuted at 14 weeks of pregnancy. Due to the failure of conservative treatment in the period of 16 weeks, surgical treatment of the disease was carried out: Subtotal colectomy, ileostomy. Further pregnancy proceeded without complications. A cesarean section was performed at 39 weeks. A live full-term girl was born in a satisfactory condition.

Keywords: ulcerative colitis, surgical treatment, pregnancy.

References

1. Eremina EYu. Patologiya organov pishchevaritel’noi sistemy u beremennykh. Germany: Lambert Academic Publishing; 2011. 336 p. (In Russ).

2. Eremina EYu, Pungina MYu. Vospalitel’nye zabolevaniya kishechnika i beremennost’. Problemy zhenskogo zdorov’ya. 2013;8(3):77–86. (In Russ).

3. Lee ED. Inflammatory bowel disease and possible applications of tumor necrosis factor inhibitors in pregnant women. Experimental and clinical gastroenterology. 2013;(3):58–62. (In Russ).

4. Parfenov AI. Inflammatory bowel disease and pregnancy. Experimental and clinical gastroenterology. 2012;(3):80–86. (In Russ).

5. Uspenskaya YuB, Grigor’eva GA. O probleme beremennosti pri bolezni Krona i yazvennom kolite. Lechashchii vrach. 2009;(11):76–81. (In Russ).

6. Mahadevan U, Sandborn WJ, Li DK, Hakimian S, Kane S, Corley DA. Pregnancy outcomes in women with inflammatory bowel disease: a large community-based study from Northern California. Gastroenterology. 2007;133(4):1106–1112. doi: 10.1053/j.gastro.2007.07.019.

7. Maliszewska AM, Warska A, Cendrowski K, Sawicki W. Inflammatory bowel disease and pregnancy. Ginekol Pol. 2017;88(7):398–403. doi: 10.5603/GP.a2017.0074.

8. Schulze H, Esters P, Dignass A. Review article: the management of Crohn’s disease and ulcerative colitis during pregnancy and lactation. Aliment Pharmacol Ther. 2014;40(9):991–1008. doi: 10.1111/apt.12949.

9. Quddus A, Martin-Perez B, Schoonyoung H, Albert M, Atallah S. Toxic megacolon during pregnanacy in ulcerative colitis: a case report. Int J Surg Case Rep. 2015;11:83–86. doi: 10.1016/j.ijscr.2015.04.033.

For citation

Rymashevsky A.N., Volkov A.E., Latynin A.N., Guseva N.P., Nikitina E.S. The expierence of surgical treatment of ulceratine colitis at pregnancies. Bulletin of Pirogov National Medical & Surgical Center. 2019;14(2):138-141. (In Russ.) https://doi.org/10.25881/BPNMSC.2019.98.37.030