SUBTOTAL COLECTOMY AND END ILEOSTOMY FOR FULMINANT COLITIS DURING 2ND-TRIMESTER PREGNANCY
Peter H. Liu*1, Hillary Prince2, Alexander Greenstein1
1Surgery, Mount Sinai Health System, New York, NY; 2The University of Texas Southwestern Medical Center, Dallas, TX
We present a case of a 32-year-old woman originally diagnosed with ulcerative colitis (UC) for 12 years, refractory to medical management who had a flare while pregnant at 17w6d. After failing inpatient IV steroids and cyclosporine, she was taken for a laparoscopic subtotal colectomy with end ileostomy at 19w2d. The patient tolerated the procedure without complications. Final pathology showed indeterminant colitis (IC), which is found between 1-20% of IBD cases. This video describes our port placements and approach to the procedure in a patient during the second trimester of pregnancy. It also includes a discussion on the safety of laparoscopic colectomies for IC and UC during pregnancy.
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