Question

A pregnant female had Meconium stained liquor and underwent emergency LSCS. A few days later her condition deteriorated. USG showed edematous bowels. What's the cause ?

• A. Meconium peritonitis
• B. Paralytic ileus
• C. Adhesive intestinal obstruction
• D. Intra-abdominal abscess

Answer 1

The Correct Option is B

The condition described involves a pregnant female who had Meconium stained liquor and required an emergency Lower Segment Caesarean Section (LSCS). A few days post-operation, her condition deteriorated, and an Ultrasound (USG) showed edematous bowels. The primary cause of such a presentation is most likely to be Paralytic ileus. Here's why:

• Meconium stained liquor signals fetal distress, leading to emergency surgical interventions such as LSCS.
• Post-surgery, patients can develop ileus, a condition where the intestines become inactive or paralyzed, leading to bowel edema as observed on the USG.
• Paralytic ileus is common post-abdominal surgery due to the manipulation of intestines, anesthesia, and other perioperative factors.
• Other options, such as meconium peritonitis, adhesive intestinal obstruction, or intra-abdominal abscess, could suggest different symptoms or require more time to manifest than described.

Given the rapid deterioration after surgery with edematous bowels on imaging, Paralytic ileus is the most plausible cause.