PREGNANCY AND CROHN'S DISEASE WITH EXTRAINTESTINAL MANIFESTATIONS OF PERIANAL REGION AND EXTERNAL GENITALIA

Abstract

The article presents a clinical case of observation of the course of pregnancy and delivery in women with a rare manifestation of Crohn's disease with a primary lesion of the anal canal with extraintestinal manifestations (perianal region and external genitalia). Prospective clinical observation demonstrates the possibility of work with adequate outpatient and inpatient obstetric services in collaboration with relevant specialists, a favorable course and outcome of pregnancy in women with Crohn's disease of moderate severity with extraintestinal manifestations in the phase of incomplete remission and the birth of healthy full-term newborns. It should be noted that the use of drugs for the treatment of Crohn's disease and related complications (anemia) had no teratogenic effects on the growth and development of the fetus, and on and on the health of the newborn. Joint management of these patients by the obstetrician-gynecologist, gastro-enterology and a proctologist in the form of joint inspections and allows councils, in a timely manner to verify diagnosis of the disease and its complications, and provide adequate correction treatment patient to obtain a favorable pregnancy outcome, birth and the postnatal period.