Rodriguez Arley K, Muir Sean M, Tjiattas-Saleski Lindsay
Obstetrics and Gynecology, Edward Via College of Osteopathic Medicine, Spartanburg, USA.
Medicine, Edward Via College of Osteopathic Medicine, Spartanburg, USA.
Cureus. 2023 Sep 26;15(9):e46004. doi: 10.7759/cureus.46004. eCollection 2023 Sep.
Ulcerative colitis is a chronic inflammatory bowel disease that results in continuous colon inflammation. It is uncommonly diagnosed during pregnancy, and if quiescent before pregnancy, becomes active very rarely. Current literature has found that amelioration of the disease can be common during the second and third trimesters. However, if ulcerative colitis is active, it has the potential to result in premature delivery and low birth weight. This case focuses on a rare presentation of primary ulcerative colitis diagnosed in a 22-year-old multiparous patient to highlight the importance of a comprehensive differential diagnosis in pregnant patients with seemingly benign symptomatology.
溃疡性结肠炎是一种慢性炎症性肠病，可导致结肠持续炎症。妊娠期很少诊断出该病，若在妊娠前病情静止，则极少会复发。目前的文献发现，该病在妊娠中期和晚期病情缓解较为常见。然而，如果溃疡性结肠炎处于活动期，则有可能导致早产和低出生体重。本病例聚焦于一名22岁经产妇被诊断为原发性溃疡性结肠炎的罕见病例，以强调对症状看似良性的妊娠患者进行全面鉴别诊断的重要性。
