Gastroenterologie
a hepatologie

Complicated course of IBD in pregnancy

Václav Štěpánek¹, Zuzana Šerclová², Mojmír Kasalický³, Martin Bortlík¹

+ Affiliation
¹ Gastroenterologické oddělení, Nemocnice České Budějovice, a. s.
² Klinické a výzkumné centrum pro střevní záněty ISCARE a.s. a 1. LF UK Praha
³ Chirurgická klinika 2. LF UK a ÚVN Praha

Summary

We present a case report of a young female patient with complicated course of inflammatory bowel disease with severe luminal, as well as perianal symptoms. The patient was initially dia­gnosed with ulcerative colitis and underwent proctocolectomy with ileopouch-anal anastomosis. One year after oostomy closure she got pregnant and, at the same time, she developed perianal abscess and fistula. The dia­gnosis was thus changed to Crohn’s disease. During pregnancy, she underwent repeated perianal fistula drainages, surgical revision of ileus and treatment with ustekinumab was started. The patient delivered a healthy boy in November 2022 at 38^th gestational week.

Keywords

Crohn’s disease, perianal Crohn’s disease, ustekinumab, pregnancy

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