Rectovaginal Fistula From Untreated Ulcerative Colitis in Pregnancy: A Case Report and Review of the Literature

Inflammatory bowel disease can have reproductive consequences depending on severity at the time of conception and antepartum management. A 37-year-old G1 with ulcerative pancolitis initially did not disclose her medical history to obstetrics providers. She developed worsening hematochezia microcytic anemia declined treatment colitis. then a rectovaginal fistula, underwent cesarean delivery but intraoperative management started after significant postpartum weight loss. was ultimately lost follow-up care. For patients colitis, multidisciplinary team approach should be utilized identify barriers care, prevent progression, optimize pregnancy outcomes. Delivery methods individualized patient, further studies are necessary establish guidelines.