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Synchronous colectomy and caesarean section for fulminant ulcerative colitis: case report and review of the literature

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Abstract

Ulcerative colitis (UC) affects women of all ages, with a peak incidence in the third and fourth decades, at the prime of their reproductive years [Baiocco PJ, Korelitz BI (1984) The influence of inflammatory bowel disease and its treatment on pregnancy and fetal outcome. J Clin Gastroenterol 6(3):211–216]. We describe a case of fulminating UC at 28 weeks' gestation treated by combined emergency subtotal colectomy and caesarean section with excellent foetal and maternal outcome. A treatment algorithm is suggested, and the literature surrounding inflammatory bowel disease in pregnancy is reviewed.

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Acknowledgements

Asif Patel, Colo-proctology coordinator, Royal London Hospital, is gratefully acknowledged.

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Authors and Affiliations

  1. Academic Department of Surgery, Royal London Hospital, London, E1 1BB, UK

    A. I. Haq, A. Sahai & S. Dorudi

  2. Academic Department of Anaesthesiology, Royal London Hospital, London, E1 1BB, UK

    S. Hallwoth

  3. Department of Gastroenterology, Royal London Hospital, London, E1 1BB, UK

    D. S. Rampton

Authors
  1. A. I. Haq
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  2. A. Sahai
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  3. S. Hallwoth
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  4. D. S. Rampton
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  5. S. Dorudi
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Correspondence to A. I. Haq.

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Haq, A.I., Sahai, A., Hallwoth, S. et al. Synchronous colectomy and caesarean section for fulminant ulcerative colitis: case report and review of the literature. Int J Colorectal Dis 21, 465–469 (2006). https://doi.org/10.1007/s00384-005-0027-z

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  • DOI: https://doi.org/10.1007/s00384-005-0027-z

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