Permanent colostomy in a young female patient has a great psycosocial impact; including marital and sexual life. Pregnancy in a women with ostomy possess significant concern in it is management; however the literature addressing this problem revealed minimal information. We reported a 31 years old female with bleeding per-rectum and low rectal mass 3.5 cm from the anal verge. The mass proved to be an adenocarcinoma by biopsy and histopathology and it is stage II by Dukes classification. Abdomino-perineal resection with sigmoid permanent colostomy were performed. Six months after surgery and during routine ultrasound follow-up the patient discovered to be pregnant. She delivered spontaneously via vaginal rote at term with no reported complication. Usually an ostomy is carried out for benign diseases in young women and it is uncommon to see osomaters who become pregnant. Our patient is well adapted to her social and sexual relationship and intimacy in a short period.
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