Severe ulcerative colitis (UC) often requires surgical management. When surgery is indicated during pregnancy there is understandably great concern regarding the possible adverse effects of surgery on both mother and foetus. This concern is heightened in early pregnancy when it is not possible for delivery and operative intervention to coincide. We present a case of a subtotal colectomy and ileostomy during the second trimester with a successful pregnancy continuing after surgery. During the management of this patient, we found there were few reports of pregnant women requiring surgery for severe UC, particularly when the pregnancy was required to continue in the post-operative period. Alongside this, we present a review on the impact of surgery for UC in pregnant women with pregnancy continuing after surgery.
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