A primi-para patient presented in emergency, ten days after normal vaginal delivery, with acute abdominal pain, low grade fever and constipation. Clinical examination revealed poor general condition, signs of dehydration, tachycardia, hypotension, guarding and rigidity all over the abdomen. Investigations were suggestive of perforation and peritonitis. Contrast enhanced CT confirmed the presence of around 800 ml of free fluid. After initial resuscitative measures, patient is taken up for laparotomy in view of acute abdomen. Intra-operatively around 1 l of purulent fluid drained. Exploration of the bowel revealed a large cecal perforation. Repair was carried out with rescue colostomy. Her post-operative period was un-eventful, she showed steady improvement and was discharged in a stable condition with colostomy in situ. The colostomy was closed after 12 weeks.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.