Pregnancy and Healthy Childbirth in a 37 Year-Old Patient with Diverticular Disease
https://doi.org/10.22416/1382-4376-2020-30-5-58-62
Abstract
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.
Supporting agencies: The work was supported by “Alfasigma Rus” LLC.
About the Authors
P. S. Andreev
Samara State Medical University
Russian Federation
Russian Federation
Pavel S. Andreev - Cand. Sci. (Med.), Physician (coloproctology), Assoc. Prof., Chair of Hospital Surgery
443099, г. Самара, ул. Чапаевская, д. 89
S. E. Katorkin
Samara State Medical University
Russian Federation
Russian Federation
Sergey E. Katorkin - Dr. Sci. (Med.), Physician (coloproctology), Head of the Chair and Clinic of Hospital Surgery
443099, г. Самара, ул. Чапаевская, д. 89
O. E. Davydova
Samara State Medical University
Russian Federation
Russian Federation
Olga E. Davydova - Cand. Sci. (Med.), Physician (coloproctology), Clinic of Hospital Surgery
443099, г. Самара, ул. Чапаевская, д. 89
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Review
For citations:
Andreev P.S., Katorkin S.E., Davydova O.E. Pregnancy and Healthy Childbirth in a 37 Year-Old Patient with Diverticular Disease. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2020;30(5):58-62. (In Russ.) https://doi.org/10.22416/1382-4376-2020-30-5-58-62
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