Crohn disease and pregnancy: a case report of an acute abdomen
| Authors | |
|---|---|
| Year of publication | 2016 |
| Type | Article in Periodical |
| Magazine / Source | International Journal of Colorectal Disease |
| MU Faculty or unit | |
| Citation | |
| Doi | http://dx.doi.org/10.1007/s00384-016-2554-1 |
| Field | Other specializations of internal medicine |
| Keywords | Crohn disease; pregnancy |
| Description | We present a 29-year-old patient with Crohn disease diagnosed in 2009 who underwent right side hemicolectomy in January 2014 (because of a stenosis of caecum and ascending colon). Side to side anastomosis was performed. The control colonoscopy did not show signs of CD recurrence, there were only three aphthous lesions near the base of the colon. Rutgeerts score was i1, so the step-up therapy was not indicated. After the procedure, the patient remained in remission on a conservative treatment using azathioprine. The patient is a non-smoker since 2010, before that she used to smoke five cigarettes per day and before conception she used per oral contraception for 8 years until August 2014. Because of the remission of CD and after a consensus with a gastroenterologist, the first pregnancy was planned. During the pregnancy, the medication remained on azathioprine. |