title: Mechanical ileus in a pregnant woman at term pregnancy accompanied by labor pains.
abstract: 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.
authors: Department of Obstetrics and Gynecology, Faculty of Medicine, Kagoshima University, Kagoshima, Japan.
authors: Tomoki
authors: T
authors: Kuwahata
authors: Ichiro
authors: I
authors: Iwamoto
authors: Toshinori
authors: T
authors: Fujino
authors: Tsutomu
authors: T
authors: Douchi
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007081:Ileostomy; D045823:Ileus / Q000473:pathology / Q000601:surgery; D007415:Intestinal Obstruction / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D011247:Pregnancy; D011248:Pregnancy Complications / Q000473:pathology*