Acute colonic pseudo-obstruction following cesarean delivery.

Abstract

Acute colonic pseudo-obstruction remains an uncommon complication in obstetric practice, but when it occurs, it is most frequently noted after cesarean delivery. Acute colonic pseudo-obstruction is characterized by the findings consistent with large bowel obstruction in the absence of a demonstrable mechanical cause as noted in this case report. We report the occurrence of acute colonic pseudo-obstruction post-cesarean delivery in which prompt recognition of impending cecal perforation allowed appropriate management by tube cecostomy. Although acute colonic pseudo-obstruction is uncommon, it is important that obstetric practitioners recognize this clinical entity as the potentially fatal consequences of cecal perforation can be prevented by tube cecostomy.

• Authors: Friedrich W J Busch, J M Hamdorf, C Shannon Carroll Sr, Everett F Magann, John C Morrison
• Journal: Journal of the Mississippi State Medical Association (J Miss State Med Assoc) Vol. 45 Issue 11 Pg. 323-6 (Nov 2004) ISSN: 0026-6396 [Print] United States
• PMID: 15624628 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Acute Disease
• Cecostomy
• Cesarean Section (adverse effects)
• Colonic Pseudo-Obstruction (diagnosis, etiology, surgery)
• Female
• Humans
• Infant, Newborn
• Middle Aged
• Pregnancy