International Review of Medical Practice, 2019, XXV/3: 106-108 Maximize

International Review of Medical Practice, 2019, XXV/3: 106-108

Title: Ileus after caesarean section – a case report 

Authors: Priefer-Hankowska W, Konopka M, Konopka K. 

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Ileus after caesarean section – a case report

Priefer-Hankowska W1, Konopka M2, Konopka K1.

1Department of General Surgery, Provincial Specialist Hospital in Wloclawek, Poland; 2Clinical Hospital of Medical University in Poznan, Poland

International Review of Medical Practice, 2019; Vol. 25, No. 3, 106

Mechanical gastrointestinal obstruction is the absence of intestinal passage through an obstacle in any segment of the small or large intestine. There are three mechanisms for the formation of mechanical obstruction: from strangulation, from obstruction of the gastrointestinal lumen and from intussusception as an intermediate form of the disease. The entrapment of the small intestine loop in the peritoneal defect after Caesarean section is rare.
A case report
. A 37-year-old woman with obesity (BMI 44) 2 weeks after the birth of twins by Caesarean section was admitted to hospital due to signs of mechanical gastrointestinal obstruction in the form of vomiting and abdominal pain. Radiographic examination of the abdomen showed widening of the small intestinal loop in the abdomen with fluid levels. During laparoscopy, distended small intestine loops were found proximal to the place of entrapment in the peritoneal defect after caesarean section. Stitching the defect allowed removing the threat and improving the patient’s health.
. The presented case of obstruction of the small intestine after Caesarean section indicates the need to consider the validity of peritoneal occlusion when performing incision in selected patients, including those with obesity and previous surgery.

Key words: caesarean section, gastrointestinal obstruction, abdominal wall closure