{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T20:36:59Z","timestamp":1791405419493,"version":"4.3.3"},"reference-count":19,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,10,26]],"date-time":"2023-10-26T00:00:00Z","timestamp":1698278400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Chronic, severe Crohn's disease in a young female patient can result in surgical complexity. The rarity of the presentation of intractable pelvic abscesses within this etiology with additional considerations given to fertility concerns and hence requirement for input from a multi\u2010disciplinary team makes this a vital case in building a consensus for evidence\u2010based surgical management. A 29\u2010year\u2010old nulliparous woman was referred to our tertiary centre for surgical management of Crohn's disease with known tubo\u2010ovarian abscess and abdominoperineal and abdominal wall sinuses. Her previous surgical history included 4 midline laparotomies, subtotal colectomy and proctectomy with stoma formation. The patient underwent egg collection to preserve fertility. This was followed by midline laparotomy and abdominoperineal resection, which involved a retrograde radical modified hysterectomy using the Hudson technique, alongside excision of the perineal sinus, with reconstruction of the perineal defect using an internal pudendal artery perforator gluteal fold flap, and in addition to excision and drainage of the abdominal wall abscess. Involvement was sought from gynecological oncology, colorectal, urology, plastics, stoma, fertility, microbiology, and gastroenterology teams, which enabled successful preservation of end organ function and improvement in patient psychological well\u2010being. This case is a paradigm of surgical challenge, requiring expert gynecological oncology techniques including a retroperitoneal approach, nerve and vessel sparing considerations alongside colorectal and urological procedures. Moreover, we believe that our blueprint for effective multi\u2010disciplinary practice will inform the future management of gynecological surgery. Therefore this report aims to contribute towards the optimum management of the gynecological sequelae of Crohn's disease.<\/jats:p>","DOI":"10.1002\/ijgo.15196","type":"journal-article","created":{"date-parts":[[2023,10,26]],"date-time":"2023-10-26T12:42:26Z","timestamp":1698324146000},"page":"535-541","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The role of the multidisciplinary team in surgical management of intractable tubo\u2010ovarian abscess as a late sequelae of challenging Crohn's disease in the modern era: A case report and review of current literature"],"prefix":"10.1002","volume":"165","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8679-4734","authenticated-orcid":false,"given":"Shanghavie","family":"Loganathan","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaeology University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7407-8247","authenticated-orcid":false,"given":"Sarah Louise","family":"Smyth","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaeology University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roman","family":"Mykula","sequence":"additional","affiliation":[{"name":"Plastic Surgery University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3293-5321","authenticated-orcid":false,"given":"Hooman","family":"Soleymani\u00a0Majd","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaeology University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,10,26]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.JPAG.2008.03.006"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.17235\/REED.2015.3764\/2015"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ECCO-JCC\/JJZ187"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/BCR-2023-254660"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ECCO-JCC\/JJZ180"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1159\/000367859"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/ECCO-JCC\/JJV198"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/IJGO.13932"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0B013E3181A0A5BF"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000008"},{"key":"e_1_2_9_12_1","unstructured":"En\u2010bloc groin excision of recurrent SCC vulva with tensor fasciae latae flap rescontruction in a previously irradiated field and BMI >40 kg\/m2. 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