Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/17891
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dc.contributor.authorRaval, Manjri-
dc.contributor.authorChoy, Matthew C-
dc.contributor.authorDe Cruz, Peter-
dc.date2018-06-08-
dc.date.accessioned2018-06-19T06:24:16Z-
dc.date.available2018-06-19T06:24:16Z-
dc.date.issued2018-06-08-
dc.identifier.citationBMJ Case Reports 2018; 2018: bcr-2017-223540en_US
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/17891-
dc.description.abstractUlcerative colitis (UC) is a chronic inflammatory bowel disease with an age of onset that affects young people during the peak of their reproductive years. Management of flares of disease during pregnancy can be complex and there are few case reports of pregnant women with acute severe ulcerative colitis (ASUC). We present the case of a 31-year-old pregnant woman who at 16 weeks gestation developed ASUC in the context of primary non-response to infliximab therapy. She subsequently underwent an emergency laparoscopic colectomy after failing to respond to hydrocortisone and cyclosporine salvage therapy. Her pregnancy was further complicated by HELLP (Haemolysis, Elevated liver enzymes and Low Platelets) syndrome resulting in premature delivery at 27 weeks gestation. This case highlights the management issues involved in ASUC during pregnancy and the assessment of disease activity, use of salvage therapies, and provides a framework to approach this complex medical emergency.en_US
dc.language.isoeng-
dc.subjectpregnancyen_US
dc.subjectulcerative colitisen_US
dc.titleSalvage therapy for acute severe ulcerative colitis during pregnancy.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleBMJ Case Reportsen_US
dc.identifier.affiliationGeneral Medicineen_US
dc.identifier.affiliationGastroenterology and Hepatologyen_US
dc.identifier.affiliationThe University of Melbourne, Melbourne, Victoria, Australiaen_US
dc.identifier.doi10.1136/bcr-2017-223540en_US
dc.type.contentTexten_US
dc.identifier.pubmedid29884712-
dc.type.austinJournal Article-
local.name.researcherChoy, Matthew C
item.openairetypeJournal Article-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.grantfulltextnone-
item.fulltextNo Fulltext-
item.cerifentitytypePublications-
item.languageiso639-1en-
crisitem.author.deptGeneral Medicine-
crisitem.author.deptGastroenterology and Hepatology-
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