{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T04:23:47Z","timestamp":1684211027961},"reference-count":15,"publisher":"Royal College of Surgeons of England","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:p> The diagnosis of visceral perforation during pregnancy is often delayed and the management complex. A 32-year-old primigravid woman in her second trimester presented with abdominal pain and a pre-existing ileoanal pouch. Initial imaging was negative but later imaging was suggestive of serious pathology. At laparotomy, a caesarean section was performed. Peritonitis was encountered secondary to two discrete perforations in the small bowel separate from her pouch. Histology found an ischaemic perforation secondary to a pressure effect from the gravid uterus. In pregnancy, ileoanal pouches may make the interconnected bowel vulnerable to the pressure effect of the gravid uterus and perforation. Pregnant women with such a surgical history who develop symptoms suggestive of bowel perforation should have rapid imaging and their clinical team should consider early definitive surgical intervention. <\/jats:p>","DOI":"10.1308\/rcsann.2020.7143","type":"journal-article","created":{"date-parts":[[2021,4,30]],"date-time":"2021-04-30T23:01:07Z","timestamp":1619823667000},"page":"e151-e155","source":"Crossref","is-referenced-by-count":1,"title":["Ischaemic bowel perforation secondary to a gravid uterus in a patient with treated inflammatory bowel disease and an ileoanal pouch: a case report"],"prefix":"10.1308","volume":"103","author":[{"given":"E","family":"Wasson","sequence":"first","affiliation":[{"name":"Medical School, University of Bristol, Bristol, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MJ","family":"Jones","sequence":"additional","affiliation":[{"name":"Severn School of Surgery, Bristol, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N","family":"Fazili","sequence":"additional","affiliation":[{"name":"Severn School of General Practice, Bristol, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Burn","sequence":"additional","affiliation":[{"name":"Musgrove Park Hospital, Taunton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Nagabushanam","sequence":"additional","affiliation":[{"name":"Musgrove Park Hospital, Taunton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Vickery","sequence":"additional","affiliation":[{"name":"Musgrove Park Hospital, Taunton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"NAJ","family":"Ryan","sequence":"additional","affiliation":[{"name":"Musgrove Park Hospital, Taunton, UK"},{"name":"Academic Centre for Women's Health, University of Bristol, Bristol, UK"},{"name":"Severn School of Obstetrics and Gynaecology, Bristol, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"171","reference":[{"key":"C1","doi-asserted-by":"publisher","DOI":"10.1136\/flgastro-2014-100514"},{"key":"C2","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2010.494745"},{"key":"C3","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2008.10.022"},{"key":"C4","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S151501"},{"key":"C5","first-page":"175","volume":"5","author":"Werbin N","year":"2003","journal-title":"Isr Med Assoc J"},{"key":"C6","doi-asserted-by":"publisher","DOI":"10.9738\/INTSURG-D-14-00070.1"},{"key":"C7","doi-asserted-by":"publisher","DOI":"10.1097\/00004728-198206000-00010"},{"key":"C8","doi-asserted-by":"publisher","DOI":"10.4292\/wjgpt.v7.i4.490"},{"key":"C9","doi-asserted-by":"publisher","DOI":"10.1016\/j.mric.2015.11.008"},{"key":"C10","doi-asserted-by":"publisher","DOI":"10.1016\/j.rcl.2011.08.001"},{"issue":"54","key":"C11","volume":"10","author":"Hecker A","year":"2015","journal-title":"World J Emerg Surg"},{"key":"C12","first-page":"137","volume":"84","author":"Stukan M","year":"2013","journal-title":"Ginekol Pol"},{"key":"C13","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-008-0139-y"},{"key":"C14","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v25.i31.4414"},{"key":"C15","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2002.122598"}],"container-title":["The Annals of The Royal College of Surgeons of England"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/pdf\/10.1308\/rcsann.2020.7143","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T10:46:13Z","timestamp":1684147573000},"score":1,"resource":{"primary":{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/10.1308\/rcsann.2020.7143"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,5]]}},"alternative-id":["10.1308\/rcsann.2020.7143"],"URL":"https:\/\/doi.org\/10.1308\/rcsann.2020.7143","relation":{},"ISSN":["0035-8843","1478-7083"],"issn-type":[{"value":"0035-8843","type":"print"},{"value":"1478-7083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5]]}}}