Abstract
The patient was a 35-year old pregnant woman who presented with abdominal pain and vomiting in the 29th week of pregnancy. She had no previous history of laparotomy. Abdominal CT revealed findings suggestive of obstruction of the small intestine, and the patient was hospitalized with a diagnosis of ileus. On the third day of hospitalization, since no improvement of the symptoms was noted, emergency operation was performed. First, a Caesarian section was performed； intraoperatively, an ostium 2 cm in diameter was observed in the left lobe of the mesosigmoid, with herniation and evidence of strangulation of a segment of the small intestine. Based on the findings, a diagnosis of ileus caused by intramesosigmoid hernia was made. A simple repositioning was manually possible, therefore, only the ileus operation was performed without resection of the intestine. On the 6th day after the surgery, the patient was discharged after an uneventful postoperative course. The baby had no obvious disability and remains alive, 5 months after birth. Ileus during pregnancy is associated with a high mortality risk for both the mother and child, and it is believed that proactive examinations and performance of surgery in a timely manner are directly linked to a higher likelihood of saving the lives of both the mother and the child.
