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a hepatologie

Gastroenterology and Hepatology

Gastroent Hepatol 2023; 77(1): 30–33. doi: 10.48095/ccgh202330.

Complicated course of IBD in pregnancy

Václav Štěpánek1, Zuzana Šerclová2, Mojmír Kasalický3, Martin Bortlík1

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We present a case report of a young female patient with complicated course of inflammatory bowel disease with severe luminal, as well as perianal symptoms. The patient was initially dia­gnosed with ulcerative colitis and underwent proctocolectomy with ileopouch-anal anastomosis. One year after oostomy closure she got pregnant and, at the same time, she developed perianal abscess and fistula. The dia­gnosis was thus changed to Crohn’s disease. During pregnancy, she underwent repeated perianal fistula drainages, surgical revision of ileus and treatment with ustekinumab was started. The patient delivered a healthy boy in November 2022 at 38th gestational week.


Crohn’s disease, perianal Crohn’s disease, ustekinumab, pregnancy

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