Pregnancy and Healthy Childbirth in a 37 Year-Old Patient with Diverticular Disease
Aim. To describe a clinical case of pregnancy and healthy labour in a young female patient with uncomplicated diverticular disease (DD).Key points. In recent years, DD is more frequently observed in younger patients. A 37-yo woman manifested the symptoms of periodic intense abdominal pain and consta...
| Main Authors: | , , |
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| Format: | Article |
| Language: | Russian |
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Gastro LLC
2020-12-01
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| Series: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| Subjects: | |
| Online Access: | https://www.gastro-j.ru/jour/article/view/460 |
| _version_ | 1797245233243619328 |
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| author | P. S. Andreev S. E. Katorkin O. E. Davydova |
| author_facet | P. S. Andreev S. E. Katorkin O. E. Davydova |
| author_sort | P. S. Andreev |
| collection | DOAJ |
| description | Aim. To describe a clinical case of pregnancy and healthy labour in a young female patient with uncomplicated diverticular disease (DD).Key points. In recent years, DD is more frequently observed in younger patients. A 37-yo woman manifested the symptoms of periodic intense abdominal pain and constant abdominal discomfort. Colonic DD was diagnosed with irrigoscopy. A high-fibre diet, rifaximin-α at 400 mg twice a day for one week, once a month for six months, and topical anti-inflammatory therapy were prescribed. Clinical symptoms were eradicated upon the treatment. Unaware of pregnancy, the patient had another course of rifaximin-α at the second week of gestation, after which the therapy was stopped. Rifaximin-α, which has a poor intestinal absorption, did not affect the foetal development. A caesarean childbirth was healthy, the newborn was delivered on term with no complications (Apgar score 8).Conclusion. DD should be included in differential diagnosis for patients with non-specific symptoms (abdominal pain, bloating and discomfort), regardless of young age. No protocols are currently accepted for the DD management during gestation. In the clinical case reported, a patient having diverticular disease and a rifaximin-α therapy at an early term of gestation proceeded without complications for herself and the foetus. |
| first_indexed | 2024-03-08T09:21:33Z |
| format | Article |
| id | doaj.art-fa4f2326c0954d0e966b5acec5b1ed00 |
| institution | Directory Open Access Journal |
| issn | 1382-4376 2658-6673 |
| language | Russian |
| last_indexed | 2024-04-24T19:23:39Z |
| publishDate | 2020-12-01 |
| publisher | Gastro LLC |
| record_format | Article |
| series | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| spelling | doaj.art-fa4f2326c0954d0e966b5acec5b1ed002024-03-25T16:53:09ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732020-12-01305586210.22416/1382-4376-2020-30-5-58-62383Pregnancy and Healthy Childbirth in a 37 Year-Old Patient with Diverticular DiseaseP. S. Andreev0S. E. Katorkin1O. E. Davydova2Samara State Medical UniversitySamara State Medical UniversitySamara State Medical UniversityAim. To describe a clinical case of pregnancy and healthy labour in a young female patient with uncomplicated diverticular disease (DD).Key points. In recent years, DD is more frequently observed in younger patients. A 37-yo woman manifested the symptoms of periodic intense abdominal pain and constant abdominal discomfort. Colonic DD was diagnosed with irrigoscopy. A high-fibre diet, rifaximin-α at 400 mg twice a day for one week, once a month for six months, and topical anti-inflammatory therapy were prescribed. Clinical symptoms were eradicated upon the treatment. Unaware of pregnancy, the patient had another course of rifaximin-α at the second week of gestation, after which the therapy was stopped. Rifaximin-α, which has a poor intestinal absorption, did not affect the foetal development. A caesarean childbirth was healthy, the newborn was delivered on term with no complications (Apgar score 8).Conclusion. DD should be included in differential diagnosis for patients with non-specific symptoms (abdominal pain, bloating and discomfort), regardless of young age. No protocols are currently accepted for the DD management during gestation. In the clinical case reported, a patient having diverticular disease and a rifaximin-α therapy at an early term of gestation proceeded without complications for herself and the foetus.https://www.gastro-j.ru/jour/article/view/460diverticular diseaserifaximin-αpregnancy |
| spellingShingle | P. S. Andreev S. E. Katorkin O. E. Davydova Pregnancy and Healthy Childbirth in a 37 Year-Old Patient with Diverticular Disease Российский журнал гастроэнтерологии, гепатологии, колопроктологии diverticular disease rifaximin-α pregnancy |
| title | Pregnancy and Healthy Childbirth in a 37 Year-Old Patient with Diverticular Disease |
| title_full | Pregnancy and Healthy Childbirth in a 37 Year-Old Patient with Diverticular Disease |
| title_fullStr | Pregnancy and Healthy Childbirth in a 37 Year-Old Patient with Diverticular Disease |
| title_full_unstemmed | Pregnancy and Healthy Childbirth in a 37 Year-Old Patient with Diverticular Disease |
| title_short | Pregnancy and Healthy Childbirth in a 37 Year-Old Patient with Diverticular Disease |
| title_sort | pregnancy and healthy childbirth in a 37 year old patient with diverticular disease |
| topic | diverticular disease rifaximin-α pregnancy |
| url | https://www.gastro-j.ru/jour/article/view/460 |
| work_keys_str_mv | AT psandreev pregnancyandhealthychildbirthina37yearoldpatientwithdiverticulardisease AT sekatorkin pregnancyandhealthychildbirthina37yearoldpatientwithdiverticulardisease AT oedavydova pregnancyandhealthychildbirthina37yearoldpatientwithdiverticulardisease |