Case Report
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. May 21, 2015; 21(19): 6060-6064
Published online May 21, 2015. doi: 10.3748/wjg.v21.i19.6060
Fulminant ulcerative colitis in a healthy pregnant woman
Rossana Orabona, Adriana Valcamonico, Marianna Salemme, Stefania Manenti, Guido AM Tiberio, Tiziana Frusca
Rossana Orabona, Adriana Valcamonico, Tiziana Frusca, Maternal Fetal Medicine Unit, Department of Obstetrics and Gynecology, University of Brescia, 25123 Brescia, Italy
Marianna Salemme, Stefania Manenti, Pathology Department, University of Brescia, 25123 Brescia, Italy
Guido AM Tiberio, Surgical Clinic, Department of Clinical and Experimental Sciences, University of Brescia, 25123 Brescia, Italy
Author contributions: Orabona R designed the report; Orabona R, Salemme M and Manenti S collected the patient’s clinical data; Orabona R, Valcamonico A, Tiberio GAM and Frusca T analyzed the data and wrote the paper.
Ethics approval: According to Italian regulations, ethical committee approval is not required for case reports analyzing anonymized routinely-collected data.
Informed consent: The patient gave her informed verbal consent prior to study inclusion.
Conflict-of-interest: Each author has nothing to disclose.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Rossana Orabona, MD, Maternal Fetal Medicine Unit, Department of Obstetrics and Gynecology, University of Brescia, Piazzale Spedali Civili 1, 25123 Brescia, Italy. oraroxy@libero.it
Telephone: +39-303-995340 Fax: +39-303-995340
Received: November 25, 2014
Peer-review started: December 1, 2014
First decision: January 8, 2015
Revised: January 24, 2015
Accepted: February 13, 2015
Article in press: February 13, 2015
Published online: May 21, 2015
Core Tip

Core tip: Severe ulcerative colitis complicated by toxic megacolon is widely considered to be an indication for emergency surgery. We reported a case of acute colitis in a healthy pregnant woman conservatively treated by intensive monitoring combined with medical therapy and endoscopic decompression in order to prevent the mother from having to undergo pancolectomy and the neonate from suffering an adverse perinatal outcome.