TY - JOUR
T1 - A case of pregnancy and delivery managed by ileostomy for rectovaginal fistula associated with Crohn's disease
AU - Ueno, T.
AU - Sasaki, I.
AU - Naitoh, H.
AU - Funayama, Y.
AU - Fukushima, K.
AU - Shibata, C.
AU - Ohtani, N.
AU - Koyama, K.
AU - Masuko, T.
AU - Takahashi, K.
AU - Ogawa, H.
AU - Satoh, S.
AU - Hashimoto, A.
AU - Kitayama, T.
AU - Matsuno, S.
AU - Hiwatashi, N.
PY - 1999
Y1 - 1999
N2 - 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.
AB - 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.
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U2 - 10.3862/jcoloproctology.52.714
DO - 10.3862/jcoloproctology.52.714
M3 - Article
AN - SCOPUS:0032781185
VL - 52
SP - 714
EP - 719
JO - Journal of the Japan Society of Colo-Proctology
JF - Journal of the Japan Society of Colo-Proctology
SN - 0047-1801
IS - 8
ER -