DETECTION OF CROHN’S DISEASE IN THE EARLY POSTPARTUM PERIOD

Abstract

There is a clinical case when Crohn’s disease was detected in the early postpartum period. The diagnosis was made after the development of complications of the disease, the patient did not seek medical help and was not examined because of the erased (malosymptomatic) course of the disease. Crohn’s disease is a chronic recurrent disease of the gastrointestinal tract of unclear etiology, characterized by transmural, segmental (intermittent), granulomatous inflammation of the gastrointestinal wall with the development of local and systemic complications. Crohn’s disease can affect various parts of the gastrointestinal tract. Isolated involvement of the small intestine is observed in 25-30 % of cases, ileocolitis - in 40-50 %, isolated lesions of the large intestine - in 15-25 % of patients. Until now, the exact cause of Crohn’s disease remains unknown. Among the reasons are hereditary (genetic), infectious, immunological factors. The diagnosis of “Crohn’s disease” should be confirmed by endoscopic and morphological method and / or endoscopic and X-ray method. Treatment activities in BC include the appointment of medications, surgical treatment, psychosocial support and diet therapy. The goals of therapy BC are induction of remission and its maintenance without a constant intake of glucocorticosteroids, prevention of complications, prevention of operations, and with the progression of the process and the development of life-threatening complications, the timely administration of surgical treatment. The presented clinical observation shows the importance of careful collection of anamnesis (episodes of recurring abdominal pain, periodic diarrhea), the need for timely examination of the intestine in unclear cases. The absence of patomonical clinical picture does not exclude Crohn’s disease. Timely diagnosis of this disease and adequate treatment make it possible to achieve clinical and endoscopic remission, avoid complications, preserve the patients’ ability to work and improve the quality of life of patients.