Second Trimester Ileostomy Obstruction Secondary to Uterine Compression: A Case Report
Author(s): Mei Jing Ho, Nicholas Shannon and Takako Yabe
Abstract: Ileostomy obstruction during pregnancy is an uncommon but clinically significant event. We describe a case of functional small bowel obstruction in the second trimester due to extrinsic uterine compression of the distal ileum in a patient with an ileostomy from her previous colonic resection for Crohn’s disease. Diagnosis was confirmed by magnetic resonance imaging, allowing effective non-operative management via catheter decompression through the stoma, minimising surgical and foetal risks. This case underscores the fact that mechanical compression by the gravid uterus is an under-recognised aetiology and the importance of considering it as a differential diagnosis for intestinal obstruction in pregnant patients with ileostomy.
Mei Jing Ho, Nicholas Shannon, Takako Yabe. Second Trimester Ileostomy Obstruction Secondary to Uterine Compression: A Case Report. Int J Case Rep Surg 2025;7(2):256-258. DOI: 10.22271/27081494.2025.v7.i2d.228
