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J R Soc Med. 1997 February; 90(2): 64–66.
PMCID: PMC1296139

Surgical treatment of acute manifestations of Crohn's disease during pregnancy.

Abstract

When requiring surgery, acute exacerbations of Crohn's disease in pregnancy have been reported to carry high maternal and fetal mortality. We report six cases. The women presented at 30, 28, 12, 11, 31 and 25 weeks' gestation and all proved to have intraperitoneal sepsis. In three, the acute symptoms were the first indication of Crohn's disease. All the women recovered and five had healthy babies; the other had a miscarriage when a colonic anastomosis dehisced. In pregnant women with Crohn's disease, the indications for surgery are the same as in non-pregnant patients. For acute manifestations we recommend removal of the source of the sepsis and exteriorization of the bowel ends.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Mayberry JF, Weterman IT. European survey of fertility and pregnancy in women with Crohn's disease: a case control study by European collaborative group. Gut. 1986 Jul;27(7):821–825. [PMC free article] [PubMed]
  • Hanan IM, Kirsner JB. Inflammatory bowel disease in the pregnant woman. Clin Perinatol. 1985 Oct;12(3):669–682. [PubMed]
  • Khosla R, Willoughby CP, Jewell DP. Crohn's disease and pregnancy. Gut. 1984 Jan;25(1):52–56. [PMC free article] [PubMed]
  • Summers RW, Switz DM, Sessions JT, Jr, Becktel JM, Best WR, Kern F, Jr, Singleton JW. National Cooperative Crohn's Disease Study: results of drug treatment. Gastroenterology. 1979 Oct;77(4 Pt 2):847–869. [PubMed]
  • Mogadam M, Korelitz BI, Ahmed SW, Dobbins WO, 3rd, Baiocco PJ. The course of inflammatory bowel disease during pregnancy and postpartum. Am J Gastroenterol. 1981 Apr;75(4):265–269. [PubMed]
  • Korelitz BI. Inflammatory bowel disease in pregnancy. Gastroenterol Clin North Am. 1992 Dec;21(4):827–834. [PubMed]
  • CROHN BB, KORELITZ BI, YARNIS H. Regional ileitis complicating pregnancy. Gastroenterology. 1956 Dec;31(6):615–628. [PubMed]
  • BLAIR JS, ALLEN N. Crohn's disease presenting acutely in pregnancy. J Obstet Gynaecol Br Emp. 1962 Aug;69:648–651. [PubMed]
  • Shoenut JP, Semelka RC, Silverman R, Yaffe CS, Micflikier AB. MRI in the diagnosis of Crohn's disease in two pregnant women. J Clin Gastroenterol. 1993 Oct;17(3):244–247. [PubMed]
  • DeVore GR. Acute abdominal pain in the pregnant patient due to pancreatitis, acute appendicitis, cholecystitis, or peptic ulcer disease. Clin Perinatol. 1980 Sep;7(2):349–369. [PubMed]
  • Smoleniec J, James D. General surgical problems in pregnancy. Br J Surg. 1990 Nov;77(11):1203–1204. [PubMed]
  • Horowitz MD, Gomez GA, Santiesteban R, Burkett G. Acute appendicitis during pregnancy. Diagnosis and management. Arch Surg. 1985 Dec;120(12):1362–1367. [PubMed]
  • Babaknia A, Parsa H, Woodruff JD. Appendicitis during pregnancy. Obstet Gynecol. 1977 Jul;50(1):40–44. [PubMed]
  • Babaknia A, Parsa H, Woodruff JD. Appendicitis during pregnancy. Obstet Gynecol. 1977 Jul;50(1):40–44. [PubMed]
  • GREENE J, ROGERS A, RUBIN L. Fetal loss after cholecystectomy during pregnancy. Can Med Assoc J. 1963 Mar 16;88:576–577. [PMC free article] [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press