Wulfeck D, Williams T, Amin A, Huang T Y
Department of Diagnostic Radiology, Humana Hospital-University of Louisville, KY 40202.
J Ky Med Assoc. 1994 Jul;92(7):267-9.
Pregnancy complicated by development of Crohn's disease is rare. The presentation of symptomatic Crohn's disease during pregnancy was initially described in 1946. Crohn's disease has been described in a number of atypical locations and with development of unusual fistulas. The cases associated with pregnancy have in common a clinical picture of (1) delay in diagnosis, (2) frequent premature delivery, (3) surgical intervention during pregnancy, and (4) high fetal and maternal morbidity and mortality. To our knowledge, this case is the first to describe the radiologic findings of an enterouterine fistula in a case of Crohn's disease beginning during pregnancy.
妊娠合并克罗恩病的情况较为罕见。有症状的克罗恩病在孕期的表现最初于1946年被描述。克罗恩病已在一些非典型部位被描述，且伴有不寻常瘘管的形成。与妊娠相关的病例具有以下共同临床表现：（1）诊断延迟；（2）频繁早产；（3）孕期手术干预；（4）高胎儿及孕产妇发病率和死亡率。据我们所知，该病例是首例描述孕期起病的克罗恩病患者出现肠子宫瘘的影像学表现。
