A CASE OF MEGACOLON FOLLOWING NATURAL DELIVERY, FOR WHICH DECOMPRESSION USING AN INTESTINE TUBE PER ANAL WAS EFFECTIVE

Abstract

A 35-year-old female gave birth to a girl weighing 4,324 g with natural delivery. The abdominal wall was compressed during delivery employing Kristeller's expression. Megacolon developed in the cecum over the ascending colon on the day following delivery, and the mucosa of the dilated intestine was circumferentially injured. An intestinal tube was endoscopically placed per anus. Decompression was effective and mucosal injury had mostly resolved on endoscopy on the 12th day. It was assumed that the cecum was displaced toward the center of the abdominal cavity, termed a mobile cecum, and compressed by Kristeller's expression while being caught between the abdominal wall and the uterine floor, leading to megacolon. A mobile cecum and excessive external pressure due to Kristeller's expression may be risks for maternal intestinal damage.