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Ischaemic colitis diagnosed by sigmoidoscopy during pregnancy
  1. Tsubasa Ito1,
  2. Kazuki Takasaki1,
  3. Minori Takada1 and
  4. Akira Tomioka2
  1. 1Department of Obstetrics and Gynecology, Self Defense Force Sapporo Hospital, Sapporo, Japan
  2. 2Department of Gastroenterology, National Defense Medical College, Tokorozawa, Japan
  1. Correspondence to Dr Kazuki Takasaki; frantic_pace_of_dying{at}


A 21-year-old woman visited out hospital for lower abdominal pain and bloody diarrhoea at 19 weeks of pregnancy. Endoscopic findings revealed longitudinal ulcerations with hyperaemia and oedema in the sigmoid colon. These findings and clinical presentation confirmed the diagnosis of ischaemic colitis. Conservative treatment, including fasting and intravenous hydration, was administered, and the patient made a good recovery. After discharge, there was no recurrence during pregnancy and postpartum period. It is important to make early diagnosis and treatment, and multidisciplinary teamwork between obstetricians, gastroenterologist and endoscopist is required.

  • pregnancy
  • endoscopy

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  • Contributors Conception and design: TI and KT. Acquisition of data: TI and MT. Analysis and interpretation of data: KT and AT. Drafting and revision of the manuscript: KT.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.