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Delivery Following Colon Interposition*

Peter Jakobi; Ido Solt; Jehuda Adoniram Bar-Maor; Lael-Anson Best
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*From the Departments of Obstetrics and Gynecology (Drs. Jakobi and Solt), Pediatric Surgery (Dr. Bar-Maor), and Thoracic Surgery (Dr. Best), Rambam Medical Center and Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.

Correspondence to: Peter Jakobi, MD, Department of Obstetrics and Gynecology, Rambam Medical Center, Haifa 31096, Israel; e-mail: h_gruber@rambam.health.gov.il



Chest. 2003;124(5):2027-2028. doi:10.1378/chest.124.5.2027
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Background: Colon interposition carries a significant complication rate due to attenuated arterial blood supply, because the interposed colon segment depends on a single vascular pedicle.

Cases: We report for the first time five vaginal deliveries in two women following the operation, illustrating the dilemmas encountered in choosing the delivery method in these patients.

Conclusion: We suggest that vaginal delivery following colon interposition is feasible. If cesarean section has to be performed, extra care must be exercised not to damage the vascular pedicle, particularly when there is a need for mobilizing or palpating the posterior aspect of the uterus.


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