Rectovaginal Fistula From Untreated Ulcerative Colitis in Pregnancy: A Case Report and Review of the Literature.
Publication/Presentation Date
6-1-2023
Abstract
Inflammatory bowel disease can have reproductive consequences depending on disease severity at the time of conception and antepartum management. A 37-year-old G1 with ulcerative pancolitis initially did not disclose her medical history to the obstetrics providers. She developed worsening hematochezia and microcytic anemia and declined antepartum treatment of ulcerative colitis. She then developed a rectovaginal fistula, underwent cesarean delivery but declined intraoperative management of the fistula, and started treatment after significant postpartum weight loss. She was ultimately lost to follow-up care. For patients with ulcerative colitis, a multidisciplinary team approach should be utilized to identify barriers to care, prevent disease progression, and optimize pregnancy outcomes. Delivery methods should be individualized to the patient, and further studies are necessary to establish guidelines.
Volume
15
Issue
6
First Page
40662
Last Page
40662
ISSN
2168-8184
Published In/Presented At
Altshuler, P. C., Bradford, E., van Swaay, A., Rabice, S., & Gaffney, R. (2023). Rectovaginal Fistula From Untreated Ulcerative Colitis in Pregnancy: A Case Report and Review of the Literature. Cureus, 15(6), e40662. https://doi.org/10.7759/cureus.40662
Disciplines
Medicine and Health Sciences
PubMedID
37485139
Department(s)
Department of Surgery, Department of Surgery Residents, Fellows and Residents
Document Type
Article