An Unusual Cause of Large Bowel Obstruction

A 38-year-old female developed acute onset abdominal pain and vomiting on post-operative day 2 following Cesarean section delivery. She was well until 12 h prior to consultation. She reported abdominal distention and noted no bowel movement or flatus over the last 24 h. She had received one dose of hydromorphone in the last 24 h. Prior gastrointestinal history was remarkable for gestational GERD only. At baseline she reported two formed bowel movements daily. Surgical history was remarkable for prior Cesarean section only.