Complicated course of IBD in pregnancy

Czech version

Authors: V. Štěpánek ¹; Z. Šerclová ²; M. Kasalický ³; M. Bortlík- ^{4 6}
Authors‘ workplace: Gastroenterologické oddělení, Nemocnice České Budějovice, a. s. ¹; Klinické a výzkumné centrum pro střevní záněty, Klinické centrum ISCARE a. s. a 1. LF UK v Praze ²; Chirurgická klinika 2. LF UK a ÚVN Praha ³; Interní klinika 1. LF UK a ÚVN Praha ⁴; Farmakologický ústav 1. LF UK, Praha ⁵; ZSF JČU v Českých Budějovicích, ZSF JČU, České Budějovice ⁶
Published in: Gastroent Hepatol 2023; 77(1): 30-33
Category:
doi: https://doi.org/10.48095/ccgh202330

Overview

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:

ustekinumab – Crohn’s disease – pregnancy – perianal Crohn’s disease

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