Short bowel syndrome causing bleeding diathesis and profound vitamin deficiency in pregnancy.

Abstract:

BACKGROUND:Extensive bowel resection may lead to a state of inadequate nutrient absorption and malnutrition known as short bowel syndrome. Deficiencies in fat-soluble vitamins may occur from this condition, with sequelae such as a bleeding diathesis. Maternal vitamin deficiencies also have been associated with fetal anomalies. CASE:A young gravid patient with a history of neonatal bowel resection presented with bleeding diathesis. She subsequently was found to have profound vitamin deficiencies and delivered a newborn with multiple anomalies. CONCLUSION:Preconceptional counseling, nutritional status evaluation, and concomitant management with a gastroenterologist are essential to optimize pregnancy outcome for patients with a history of extensive bowel resection.

journal_name

Obstet Gynecol

authors

Grabosch S,Pennycook J,Pakravan A,Mostello D

doi

10.1097/aog.0b013e31827e5ab3

subject

Has Abstract

pub_date

2013-02-01 00:00:00

pages

434-6

issue

2 Pt 2 Suppl 1

eissn

0029-7844

issn

1873-233X

pii

00006250-201302001-00007

journal_volume

121

pub_type

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