Fulminant ulcerative colitis in pregnancy

Am J Gastroenterol. 1994 Jun;89(6):931-3.


Most pregnant women with a history of ulcerative colitis will have a normal pregnancy and deliver a healthy child. Medical therapy can usually control the disease in those patients who experience an exacerbation, and only a minority of women progress to severe colitis necessitating surgery in pregnancy. We describe a woman who developed colitis in the first weeks of pregnancy that initially responded to steroid enemas. She then relapsed and progressed to severe colitis requiring a sub-total colectomy in the 26th wk of pregnancy. This was complicated by intra-abdominal sepsis and an abscess that required drainage. She successfully completed pregnancy, to be delivered of a healthy daughter in the 32nd wk of pregnancy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Colectomy / adverse effects
  • Colitis, Ulcerative* / diagnosis
  • Colitis, Ulcerative* / surgery
  • Female
  • Humans
  • Infant, Newborn
  • Pregnancy
  • Pregnancy Complications* / diagnosis
  • Pregnancy Complications* / surgery