Abstract
Cecal perforation following paralytic ileus after cesarean section is a rare but urgent complication. Familiarity with this complication is important. We report a case of cecal perforation following paralytic ileus after cesarean section. A 30-year-old primigravida who underwent cesarean section for breech presentation and severe oligohydramnios at 37+2 weeks’ gestation developed gastrointestinal symptoms diagnosed as paralytic ileus early in the postoperative period. The symptoms improved with conservative treatment. The patient subsequently showed worsening of the symptoms, with fever, abdominal pain and the presence of pneumoperitoneum on imaging studies. Emergency surgery was performed, confirming cecal perforation. The cecum was resected, with favorable outcome.
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