The American journal of case reports
Cure8 research brief
Why This Matters
For pregnant people with Crohn disease and multiple prior abdominal surgeries, an extraperitoneal cesarean technique (FAUCS) may be a feasible option to reduce peritoneal entry and complications from adhesions; this case shows an uncomplicated short-term outcome but does not prove safety or benefit generally.
Who Should Pay Attention
Pregnant-patients; clinicians (obstetrics, colorectal surgery, maternal-fetal medicine); parents-caregivers.
Study Snapshot
Story typeResearch paper
Evidence typeResearch paper
Source depthJournal abstract
What To Know
This is a case report of a 25-year-old woman with Crohn disease in sustained clinical remission who underwent elective cesarean delivery using an extraperitoneal French Ambulatory Cesarean Section (FAUCS) technique because of a history of five prior intraperitoneal surgeries (including bilateral hemicolectomy, colostomy formation, appendectomy, and adhesiolysis).
The team anticipated extensive intra-abdominal adhesions from prior laparotomies and chose the extraperitoneal FAUCS approach within an enhanced recovery after cesarean (ERAC) pathway.
The delivery at 37 weeks resulted in an uncomplicated immediate postoperative course with early oral intake, mobilization, minimal analgesia, and no reported complications in the short-term perioperative period.
This report is intended to illustrate feasibility in a single patient and to raise clinician awareness of the FAUCS alternative for select patients with complex abdominal surgical histories; it does not establish safety or effectiveness beyond this case.
Keep In Mind
Single-patient case report from the journal abstract. No comparative data or long-term follow-up reported; conclusions are intended for clinician awareness and case-based learning only.
Source Details
Review the original publication for the complete reporting, methods, and context.
Research paper
Evidence type derived from source or registry metadata.
PublicationThe American journal of case reports
AuthorsDaniel Wolder, Agata Michalska, Jagoda Zakrzewska +4 more
InstitutionCollegium Medicum, Jan Kochanowski University in Kielce, Kielce, Poland.
Study typeJournal article, case reports
Indexed viaPubMed
Source typeResearch paper
PublishedNov 1, 2026, 12:00 AM
Content availableJournal abstract
This Cure8 brief is based on source text from the linked article. Cure8 is informational only and is not a substitute for professional medical advice, diagnosis, or treatment.
Robotic Heineke–Mikulicz strictureplasty for ileal Crohn's disease—A video vignette
The video demonstrates a bowel-preserving robotic surgical technique for ileal strictures in Crohn's disease that could help surgeons perform technically demanding intracorporeal suturing and preserve bowel length.
Elective combined surgical management of concurrent gastrocolic and duodenocolic fistulae in longstanding Crohn's disease.
Internal fistulae can be clinically silent yet serious in long-standing Crohn's disease. Early cross-sectional imaging detected rare gastrocolic and duodenocolic fistulae in this patient, and elective combined surgery...
Report of Meckel Diverticulum Mimicking Stricturing Crohn's Disease in an Adolescent Boy
A Meckel diverticulum can present like Crohn’s disease and may be the true cause when IBD treatment fails; identifying it can lead to a surgical cure for symptoms such as anemia and obstruction.