MedicineObstetricsSurgeryMaternal NutritionObstetric ComplicationsObstetric SurgeryColorectal SurgeryGastrointestinal PerforationMaternal Medical Complications In PregnancyPregnancyAcute Severe Ulcerative ColitisGastrointestinal Perforation ManagementInflammatory Bowel Disease-associated PerforationOperative Vaginal Delivery ComplicationsPerforated Bowel RepairPerinatal ComplicationsPerioperative Steroid TherapyPeritonitis Surgery
Despite steroid therapy and total parenteral nutrition, a patient with severe ulcerative colitis developed a colon perforation with peritonitis that necessitated colectomy at 28 weeks' gestation. The pregnancy was left intact; the postoperative vaginal delivery was uneventful.