A case of pregnancy and delivery managed by ileostomy for rectovaginal fistula associated with Crohn's disease

Rectovaginal fistul associated with Crohn's disease is a complication which occurs in young women and treated by surgical treatment. A case of 23 year-old female who experienced pregnancy and delivery after ileostomy for rectovaginal fistula associated with Crohn's diseases reported. She was 14 years-old (1984) at the onset of the disease. In 1986, she underwent subtotal colectomy, partial resection of the ileum and ileoproctostomy due to long stenosis of the colon. In July 1993, she underwent resection of the anastomosis, ileoproctostomy, cholesystectomy and loop ileostomy for stenosis of the previous ileoproctostomy, RVF associated with Crohn's disease and cholecystolithiasis. In November 1995, she became pregnant and in July 1996, a healthy male infant was delivered by cesarean section to avoid worsening or bleeding of RVF at delivery. During the perinatal period, recurrence was not seen without medical therapy and she had no trouble with ileostomy. It was concluded that ileostomy is suitable management for RVF associated with Crohn's disease in selected young females.