Postpartum complications in a patient with a previous proctocolectomy and ileo-pouch-anal anastomosis (IPAA) for ulcerative colitis

This case report regards pregnancy and delivery of a patient who had undergone proctocolectomy and ileo-pouch-anal-anastomosis (IPAA) for ulcerative colitis. The patient delivered through cesarean section and experienced serious complications postpartum. Such complications have been described in association with Chron's disease and have never been described after proctocolectomy and IPAA for ulcerative colitis. This case report suggests that the limit between these two diseases is not sharp.

Inflammatory bowel disease (IBD) is a chronic disease affecting mainly young people in their reproductive years. This article describes the case of unusual puerperal complication following caesarean section in a patient, who had undergone proctocolectomy and ileo-pouch-anal-anastomosis for ulcerative colitis.