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. 1987 Aug;80(8):492–494. doi: 10.1177/014107688708000812

Fulminant ulcerative colitis in late pregnancy and the puerperium.

J B Anderson 1, G M Turner 1, R C Williamson 1
PMCID: PMC1290955  PMID: 3656334

Abstract

Four patients underwent emergency colectomy during pregnancy or the puerperium for complications of ulcerative proctocolitis. Three had inactive colitis at conception, while in the fourth the disease started during pregnancy. Three patients required subtotal colectomy and ileostomy for toxic dilatation during the third trimester or within 5 days of delivery, and the fourth underwent proctocolectomy postpartum for intractable colitis. There were no maternal deaths but 2 of 4 infants died. One child weighing 1.4 kg survived vaginal delivery during the 33rd week of pregnancy, 2 weeks after his mother had undergone emergency colectomy.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ABRAMSON D., JANKELSON I. R., MILNER L. R. Pregnancy in idiopathic ulcerative colitis. Am J Obstet Gynecol. 1951 Jan;61(1):121–129. doi: 10.1016/0002-9378(51)90014-2. [DOI] [PubMed] [Google Scholar]
  2. Cooksey G., Gunn A., Wotherspoon W. C. Surgery for acute ulcerative colitis and toxic megacolon during pregnancy. Br J Surg. 1985 Jul;72(7):547–547. doi: 10.1002/bjs.1800720716. [DOI] [PubMed] [Google Scholar]
  3. De Dombal F. T., Watts J. M., Watkinson G., Goligher J. C. Ulcerative colitis and pregnancy. Lancet. 1965 Sep 25;2(7413):599–602. doi: 10.1016/s0140-6736(65)90513-1. [DOI] [PubMed] [Google Scholar]
  4. Donaldson R. M., Jr Management of medical problems in pregnancy--inflammatory bowel disease. N Engl J Med. 1985 Jun 20;312(25):1616–1619. doi: 10.1056/NEJM198506203122506. [DOI] [PubMed] [Google Scholar]
  5. Holzbach R. T. Toxic megacolon in pregnancy. Am J Dig Dis. 1969 Dec;14(12):908–910. doi: 10.1007/BF02233212. [DOI] [PubMed] [Google Scholar]
  6. Jalan K. N., Sircus W., Card W. I., Falconer C. W., Bruce C. B., Crean G. P., McManus J. P., Small W. P., Smith A. N. An experience of ulcerative colitis. I. Toxic dilation in 55 cases. Gastroenterology. 1969 Jul;57(1):68–82. [PubMed] [Google Scholar]
  7. Järnerot G. Fertility, sterility, and pregnancy in chronic inflammatory bowel disease. Scand J Gastroenterol. 1982 Jan;17(1):1–4. doi: 10.3109/00365528209181034. [DOI] [PubMed] [Google Scholar]
  8. MACDOUGALL I. Ulcerative colitis and pregnancy. Lancet. 1956 Sep 29;271(6944):641–643. doi: 10.1016/s0140-6736(56)92334-0. [DOI] [PubMed] [Google Scholar]
  9. MARSHAK R. H., KORELITZ B. I., KLEIN S. H., WOLF B. S., JANOWITZ H. D. Toxic dilation of the colon in the course of ulcerative colitis. Gastroenterology. 1960 Feb;38:165–180. [PubMed] [Google Scholar]
  10. McEwan H. P. Ulcerative colitis in pregnancy. Proc R Soc Med. 1972 Mar;65(3):279–281. [PMC free article] [PubMed] [Google Scholar]
  11. Nielsen O. H., Andreasson B., Bondesen S., Jarnum S. Pregnancy in ulcerative colitis. Scand J Gastroenterol. 1983 Sep;18(6):735–742. doi: 10.3109/00365528309182088. [DOI] [PubMed] [Google Scholar]
  12. PESKIN G. W., DAVIS A. V. Acute fulminating ulcerative colitis with colonic distention. Surg Gynecol Obstet. 1960 Mar;110:269–276. [PubMed] [Google Scholar]
  13. Ritchie J. K. Ileostomy and excisional surgery for chronic inflammatory disease of the colon: a survey of one hospital region. Gut. 1971 Jul;12(7):528–540. doi: 10.1136/gut.12.7.528. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Sorokin J. J., Levine S. M. Pregnancy and inflammatory bowel disease: a review of the literature. Obstet Gynecol. 1983 Aug;62(2):247–252. [PubMed] [Google Scholar]
  15. Vender R. J., Spiro H. M. Inflammatory bowel disease and pregnancy. J Clin Gastroenterol. 1982 Jun;4(3):231–249. doi: 10.1097/00004836-198206000-00008. [DOI] [PubMed] [Google Scholar]
  16. Webb M. J., Sedlack R. E. Ulcerative colitis in pregnancy. Med Clin North Am. 1974 Jul;58(4):823–827. doi: 10.1016/s0025-7125(16)32125-3. [DOI] [PubMed] [Google Scholar]
  17. Willoughby C. P., Truelove S. C. Ulcerative colitis and pregnancy. Gut. 1980 Jun;21(6):469–474. doi: 10.1136/gut.21.6.469. [DOI] [PMC free article] [PubMed] [Google Scholar]

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