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Cecal Ligation Puncture Procedure
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Iatrogenic caecal perforation two days after a caesarean section, a case report
Donald Schweitzer1,2, Anne-Claire Musters3, Bart de Vries4
1Department of Surgery, Zuyderland Medisch Centrum, Heerlen, the Netherlands.
Annals of Medicine and Surgery (2012)
|October 27, 2021
Summary
Caesarean sections can lead to rare but serious complications like bowel perforation. Early diagnosis with CT scans and surgical intervention, such as ileocecal resection, are crucial for patient recovery.
Area of Science:
- Obstetrics and Gynecology
- Surgical Gastroenterology
- Abdominal Surgery
Background:
- Caesarean section is a common procedure globally, performed 29.7 million times annually.
- Complications arise in 6-15% of caesarean sections, with bowel perforation being a rare event (0.08%).
Observation:
- A patient developed symptoms of paralytic ileus post-caesarean section, with subsequent nausea and bloating.
- Imaging revealed inflammation and distention of the caecum and colon, progressing to perforation.
Findings:
- Surgical intervention, an ileocecal resection with primary anastomosis, was performed.
- The patient achieved full recovery within two weeks.
Implications:
- Caecal perforation is a critical complication following caesarean section requiring prompt diagnosis and management.
- Surgical options include primary anastomosis for stable patients or temporary ileostomy for unstable cases to minimize morbidity and mortality.
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