Document Detail

Ileal pouch perforation in pregnancy: report of a case and review of the literature.
MedLine Citation:
PMID:  15043297     Owner:  NLM     Status:  MEDLINE    
Acute abdominal pain, especially in the presence of free intra-abdominal air, in a pregnant patient who has previously undergone ileal pouch-anal anastomosis may be a result of acute perforation of the pouch. The case of a 30-year-old multigravida with an uncomplicated pregnancy at 27 weeks gestation who was admitted to the perinatal ward for preterm labor is described. The patient's past medical history was significant for an ileal pouch-anal anastomosis for ulcerative colitis. Forty-eight hours after admission, she acutely developed generalized abdominal pain with associated dyspnea. A spiral CT of the chest to rule out pulmonary embolus revealed free intra-abdominal air. An emergency cesarean section was performed, which resulted in a viable female infant. The etiology for the free air was a perforation of the ileal pouch secondary to adhesions to the posterior part of the uterus. Perforation of the pouch has been reported secondary to a variety of factors. However, no cases of ileal pouch perforation in pregnancy have been reported. Adhesions that involve the pouch and an enlarged contracting uterus may result in perforation of the pouch. Awareness and knowledge of this potential complication may lead to earlier recognition and optimal management.
Asma Aouthmany; Mark C Horattas
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Diseases of the colon and rectum     Volume:  47     ISSN:  0012-3706     ISO Abbreviation:  Dis. Colon Rectum     Publication Date:  2004 Feb 
Date Detail:
Created Date:  2004-03-26     Completed Date:  2004-04-02     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0372764     Medline TA:  Dis Colon Rectum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  243-5     Citation Subset:  IM    
Northeastern Ohio Universities College of Medicine, Akron General Medical Center, Akron, Ohio, USA.
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MeSH Terms
Abdominal Pain / etiology
Anal Canal / surgery
Anastomosis, Surgical
Cesarean Section
Colitis, Ulcerative / surgery*
Colonic Pouches*
Intestinal Perforation*
Obstetric Labor, Premature
Pneumoperitoneum / etiology
Pregnancy Complications*
Tissue Adhesions

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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