Crohn's disease complicated by enterocutaneous fistula during pregnancy: a case report
10.3760/cma.j.cn113903-20240304-00183
- VernacularTitle:克罗恩病合并妊娠并发肠皮瘘1例
- Author:
Fangfang CHEN
1
;
Jian HUANG
1
Author Information
1. 中南大学湘雅二医院产科，长沙 410000
- Publication Type:Journal Article
- Keywords:
Enterocutaneous fistula;
Crohn's disease;
Pregnancy outcome
- From:
Chinese Journal of Perinatal Medicine
2024;27(12):1080-1082
- CountryChina
- Language:Chinese
-
Abstract:
This article reported the diagnosis, treatment, and pregnancy outcome of a woman with Crohn's disease complicated by enterocutaneous fistula during pregnancy. The patient was diagnosed with Crohn's disease at the Second Xiangya Hospital of Central South University five months ago. In this pregnancy, there was no regular prenatal examination, and maintained on infliximab treatment until she discontinued the medication at 18 weeks of gestation. At 26 weeks of gestation, she experienced pain at the incision site of a previous appendectomy performed in 2015 and showed no sign of improvement following an anti-inflammatory treatment in another hospital. At 36 weeks of gestation, an opaque dark area of fluid appeared in the right abdominal wall muscle layer of the patient, which was managed with drainage and debridement. At 37 weeks of gestation, the patient developed enterocutaneous fistula. On October 6, 2023 (37 +1 weeks of gestation), she was transferred to the Second Xiangya Hospital of Central South University. Under the collaboration of a multidisciplinary team, a cesarean section together with bowel resection and anastomosis was performed at 37 +1 weeks of gestation. The maternal and neonatal outcomes were good during an eight-month follow-up after the surgery.
