A Case of Intestinal Adhesive Ileus, Successfully Treated with Daikenchuto during Pregnancy and Post Cesarean Section

NAKAYAMA Takeshi, TANAKA Kazunori

doi:10.3937/kampomed.60.647

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Other Title

妊娠中および帝王切開術後に発生した癒着性イレウスに対して，大建中湯が奏功した一例
臨床報告妊娠中および帝王切開術後に発生した癒着性イレウスに対して,大建中湯が奏功した一例
リンショウホウコクニンシンチュウオヨビテイオウセッカイジュツゴニハッセイシタユチャクセイイレウスニタイシテダイケンチュウトウガソウコウシタイチレイ

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We report a clinical case of adhesive ileus that was treated with daikenchuto during pregnancy, and post cesarean section. A 29-year woman, who had undergone a laparotomy for small intestinal volvulus at the age of 15, was referred to our hospital for abdominal distention at11weeks gestation. Her severe abdominal distention led to the intestinal adhesive ileus finding. After treatment with daikenchuto, she had mass diarrhea while the abdominal symptoms disappeared. Afterwards, the prenatal course was uneventful. Spontaneous labor began at 36 weeks gestation. Under the indication of fetal distress, an emergent cesarean section was performed. There was widespread adhesion between the small intestine and abdominal wall. On post operative day 4, nausea and vomiting increased. Daikenchuto was orally administered with the diagnosis of recurrent adhesive ileus. On day 6, flatus and soft stool were passed. On day 9, oral food ingestion was begun. Her post operative course was uneventful beyond this, and she was discharged on day 25. Recently, clinical reports of adhesive ileus during pregnancy have been increasing as average maternal ages rise. Adhesive ileus during pregnancy tends to be critical for mothers and babies, so a surgical procedure is necessary in many cases. This report suggests the usefulness of daikenchuto for adhesive ileus during the perinatal period.

Journal

Kampo Medicine

Kampo Medicine 60 (6), 647-651, 2009

The Japan Society for Oriental Medicine

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