Cecal perforation after paralytic ileus following a cesarean section: case report

被引:0
作者
Rodriguez Ferradas, E. [1 ]
Lasa Alvarado, I. [1 ]
Cobas Lozano, P. [1 ]
Lure Berregui, M. [1 ]
Larraza Zandueta, M. J. [1 ]
机构
[1] Hosp Univ Donostia, Serv Ginecol & Obstetricia, San Sebastian, Guipuzcoa, Spain
来源
CLINICA E INVESTIGACION EN GINECOLOGIA Y OBSTETRICIA | 2013年 / 40卷 / 03期
关键词
Bowel obstruction; Cesarean section; Cecal perforation; Paralytic ileus;
D O I
10.1016/j.gine.2012.06.005
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Cecal perforation following paralytic ileus after cesarean section is a rare but urgent complication. Familiarity with this complication is important. We report a case of cecal perforation following paralytic ileus after cesarean section. A 30- year-old primigravida who underwent cesarean section for breech presentation and severe oligohydramnios at 37 + 2 weeks' gestation developed gastrointestinal symptoms diagnosed as paralytic ileus early in the postoperative period. The symptoms improved with conservative treatment. The patient subsequently showed worsening of the symptoms, with fever, abdominal pain and the presence of pneumoperitoneum on imaging studies. Emergency surgery was performed, confirming cecal perforation. The cecum was resected, with favorable outcome. (C) 2012 Elsevier Espana, S.L. All rights reserved.
引用
收藏
页码:131 / 133
页数:3
相关论文
共 4 条
[1]  
DEPALMA RT, 1978, OBSTET GYNECOL, V52, pS61
[2]   Cecal Perforation Due to Paralytic Ileus Following Primary Caesarean Section [J].
Laskin, Matthew D. ;
Tessler, Karen ;
Kives, Sari .
JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA, 2009, 31 (02) :167-171
[3]  
Parrilla P, 2004, MED INTERNA, P173
[4]   INTESTINAL-OBSTRUCTION COMPLICATING PREGNANCY [J].
PERDUE, PW ;
JOHNSON, HW ;
STAFFORD, PW .
AMERICAN JOURNAL OF SURGERY, 1992, 164 (04) :384-388