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Mechanical ileus in a pregnant woman at term pregnancy accompanied by labor pains
Author(s) -
Kuwahata Tomoki,
Iwamoto Ichiro,
Fujino Toshinori,
Douchi Tsutomu
Publication year - 2007
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2007.00561.x
Subject(s) - medicine , epigastric pain , pregnancy , pelvic pain , ileus , ileostomy , abdominal pain , concomitant , surgery , complication , vaginal delivery , labor pain , obstetrics , ectopic pregnancy , genetics , vomiting , biology
Intestinal obstruction in pregnancy is a rare, but serious complication of pregnancy with significant maternal and fetal mortality. We herein report a case of intestinal strangulation in a pregnant woman with a history of pelvic surgery due to an ectopic pregnancy. Epigastric pain occurred at term pregnancy with concomitant onset of labor pains. The epigastric pain disappeared transiently, and she gave a birth to a healthy child. However, the pain appeared again after the vaginal delivery. She immediately underwent ileo‐ileostomy with a diagnosis of mechanical ileus, and the postoperative course was uneventful. Mechanical ileus should be considered when examining epigastric pain in a pregnant woman with a history of abdominal or pelvic surgery even after the onset of labor pains.