{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T13:04:55Z","timestamp":1789736695264,"version":"4.0.1"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"vor","delay-in-days":18,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Adhesive small bowel obstruction (ASBO) in the immediate postpartum period is uncommon and may mimic postoperative ileus. A 26-year-old woman returned 48\u00a0hours after repeat cesarean section with abdominal distension, vomiting, and obstipation. Her history included a previous cesarean delivery and prior midline laparotomy for ovarian torsion with appendectomy and right salpingo-oophorectomy. Radiography showed dilated small-bowel loops with air\u2013fluid levels, without initial peritoneal signs. After nasogastric decompression and observation, she deteriorated ~10\u00a0hours later with worsening pain, peritoneal signs, hypotension, tachypnea, and hypoxemia. Repeat imaging demonstrated pneumoperitoneum and complex intraperitoneal fluid. Emergency laparotomy revealed dense ASBO, generalized fecal peritonitis, and ileal perforation 20\u00a0cm proximal to the ileocecal valve. Segmental ileal resection with end ileostomy was performed. She required 5 days of intensive care. Ileostomy reversal 5 months after discharge was uncomplicated, with no major complications at 3-month follow-up.<\/jats:p>","DOI":"10.1093\/jscr\/rjag815","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T11:10:42Z","timestamp":1788520242000},"source":"Crossref","is-referenced-by-count":0,"title":["Early ileal perforation with fecal peritonitis secondary to adhesive small bowel obstruction after repeat cesarean section: a case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4799-4278","authenticated-orcid":false,"given":"Federico","family":"Sacasa","sequence":"first","affiliation":[{"name":"Faculty of Medical Sciences, Universidad Nacional Aut\u00f3noma de Nicaragua, Le\u00f3n (UNAN\u2013Le\u00f3n) , Le\u00f3n 21000 ,","place":["Nicaragua"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oscar","family":"Guevara","sequence":"additional","affiliation":[{"name":"Faculty of Medical Sciences, Universidad Nacional Aut\u00f3noma de Nicaragua, Le\u00f3n (UNAN\u2013Le\u00f3n) , Le\u00f3n 21000 ,","place":["Nicaragua"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blanca","family":"Sacasa","sequence":"additional","affiliation":[{"name":"Faculty of Medical Sciences, Universidad Nacional Aut\u00f3noma de Nicaragua, Le\u00f3n (UNAN\u2013Le\u00f3n) , Le\u00f3n 21000 ,","place":["Nicaragua"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Delgado","sequence":"additional","affiliation":[{"name":"Cl\u00ednica Mercedes, Asistencia M\u00e9dica de Occidente, S.A. (AMOCSA) , Le\u00f3n 21000 ,","place":["Nicaragua"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katerin Yaritza","family":"Hern\u00e1ndez Reyes","sequence":"additional","affiliation":[{"name":"Faculty of Medical Sciences, Universidad Nacional Aut\u00f3noma de Nicaragua, Le\u00f3n (UNAN\u2013Le\u00f3n) , Le\u00f3n 21000 ,","place":["Nicaragua"]},{"name":"General Surgery Department, Hospital Escuela Oscar Danilo Rosales Arg\u00fcello (HEODRA) , Le\u00f3n 21000 ,","place":["Nicaragua"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Vanegas","sequence":"additional","affiliation":[{"name":"Faculty of Medical Sciences, Universidad Nacional Aut\u00f3noma de Nicaragua, Le\u00f3n (UNAN\u2013Le\u00f3n) , Le\u00f3n 21000 ,","place":["Nicaragua"]},{"name":"Cl\u00ednica Mercedes, Asistencia M\u00e9dica de Occidente, S.A. 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