title: [An unusual cause of intestinal obstruction in the puerperal period (case report)].
abstract: The authors present a case report of acute intestinal obstruction which manifested itself on the fourth day after the delivery of twins by Caesarian section. Compression of the rectosigmoid colon by the enlarged uterus--which was as big as a pregnant uterus in its fourth month--was established as the cause of ileus. Acute intestinal obstruction was obviously caused by sudden enormous enlargement of the antero-posterior dimension of the contracting uterus at the aditus pelvis level. The situation was successfully surgically resolved by the employment of temporary tube cecostomy.
authors.affiliation: I. chirurgická klinika 1. lékarské fakulty Univerzity Karlovy, Praha, Czech Republic.
authors.forename: P
authors.initials: P
authors.lastname: Růzicka
authors.forename: M
authors.initials: M
authors.lastname: Pesková
authors.forename: J
authors.initials: J
authors.lastname: Sváb
authors.forename: M
authors.initials: M
authors.lastname: Fried
mesh_terms: D000208:Acute Disease; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D011247:Pregnancy; D011272:Pregnancy, Multiple; D011312:Pressure; D011644:Puerperal Disorders / Q000209:etiology* / Q000601:surgery; D014427:Twins; D014599:Uterus / Q000473:pathology