A Case of a Crohn's Disease-Complicated Pregnancy Saved by Emergency Cesarean Section and Colostomy for Pan-peritonitis
Year: 2011
Type: article
Study design: Case Report
Abstract: The patient, a 40–year–old multiparous woman, was in the 29th week of gestation when she complained of left lower abdominal pain. Colonoscopy was performed in another institution, revealing discontinuous geographical redness and edematous swelling in the lower rectum, as well as narrowing of the lumen from the rectosigmoid to the sigmoid colon. Crohn's disease was diagnosed on the basis of the findings, the clinical course, and the fact that skin tags were also present. However, the following day, the inflammatory findings and abdominal pain worsened, and the patient was referred to our hospital, since NICU management for the baby was considered necessary. A CT scan did not show any clear abscess formation nor free air, but panperitonitis was diagnosed on the basis of the abdominal findings, and emergency surgery was thus performed. Caesarean section was performed first. Copious amounts of white moss–like adherent and contaminated ascites were observed centred on the sigmoid colon, and it was concluded that minor leakage had caused the peritonitis. We decided priority the life of the patient, palliative stoma was created at the splenic flexure of the transverse colon. Both the mother and the baby had good postoperative courses.
DOI: 10.4030/jjcs.36.193
Authors: Takuzo Hashimoto, Kazuki Aratake, Michio Itabashi, Shinpei Ogawa, Tomoichiro Hirosawa, Ryouichi Hirayama, Kazuha Hatta, Yasuo Makino, Yoshio Matsuda, Shingo Kameoka
Institution: Tokyo Women's Medical University
Language: English
Topic: Inflammatory Bowel Disease
Subfield: Gastroenterology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W1978345725