Douglas Overbey, Henry Govekar, Csaba Gajdos, Department of Surgery, University of Colorado, Aurora, CO 80045, United States.
World J Gastrointest Surg. 2014 Oct 27;6(10):201-3. doi: 10.4240/wjgs.v6.i10.201.
This report describes a young female in her second trimester of pregnancy with known ulcerative colitis on maintenance medical therapy. She was admitted for abdominal pain, and workup revealed a colonic stricture and ulceration with contained perforation. After multidisciplinary discussion she was managed with colectomy and end ileostomy. She delivered a healthy newborn 18 wk after surgery. Only a few prior reports described surgical management of inflammatory bowel disease during pregnancy, with recent results indicating low risk of adverse outcomes.
本报告介绍了一位处于妊娠中期的年轻女性,她患有溃疡性结肠炎,正在接受维持治疗。她因腹痛入院,检查显示结肠狭窄伴溃疡穿孔。经多学科讨论后,她接受了结肠切除术和末端回肠造口术。术后 18 周,她顺利产下一名健康的新生儿。此前仅有少数几篇报告描述了妊娠期炎症性肠病的手术治疗,最近的结果表明不良结局的风险较低。