Publication details

Crohn disease and pregnancy: a case report of an acute abdomen

Authors

KUNOVSKÝ Lumír HEMMELOVÁ Beáta KALA Zdeněk DOLINA Jiří KONEČNÝ Štefan PENKA Igor

Year of publication 2016
Type Article in Periodical
Magazine / Source International Journal of Colorectal Disease
MU Faculty or unit

Faculty of Medicine

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.

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