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Except for an enlarged fetal bladder, her pregnancy was almost uneventful until she developed pre\u2010eclampsia requiring emergent cesarean section at 34\u2009weeks gestation. After delivery, intractable uterine atony developed with blood loss reaching 3500\u2009mL within 15\u2009min. Following a B\u2010Lynch suture, the bleeding attenuated but uterine atony persisted; lochia persisted for 3\u2009months post\u2010partum. The infant was diagnosed with megacystis microcolon intestinal hypoperistalsis syndrome after birth. The mother's clinical course and previous reports suggested that atonic bleeding was associated with the pathology of chronic idiopathic intestinal pseudo\u2010obstruction; the infant's disease was considered to be maternal\u2010related disease. Clinicians should be vigilant in pregnant patients with chronic idiopathic intestinal pseudo\u2010obstruction especially with these complications.<\/jats:p>","DOI":"10.1111\/jog.14363","type":"journal-article","created":{"date-parts":[[2020,8,4]],"date-time":"2020-08-04T06:06:07Z","timestamp":1596521167000},"page":"2153-2158","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Massive atonic bleeding during cesarean delivery in a patient with chronic idiopathic intestinal pseudo\u2010obstruction: A case report and literature review"],"prefix":"10.1111","volume":"46","author":[{"given":"Yoshihiro","family":"Katayama","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Graduate School of Medical Sciences Kyushu University  Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5271-8167","authenticated-orcid":false,"given":"Saki","family":"Kido","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Graduate School of Medical Sciences Kyushu University  Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shotaro","family":"Kai","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Graduate School of Medical Sciences Kyushu University  Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahiro","family":"Nakano","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Graduate School of Medical Sciences Kyushu University  Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuhiro","family":"Hidaka","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Graduate School of Medical Sciences Kyushu University  Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiyoko","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Graduate School of Medical Sciences Kyushu University  Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,8,3]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/ped.13559"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asjsur.2015.04.004"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.sempedsurg.2009.11.006"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1054\/clnu.2000.0144"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1054\/clnu.2002.0577"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2009.06.017"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/ejhg.2015.49"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2016.08.007"},{"key":"e_1_2_5_10_1","first-page":"9146507","article-title":"A novel mutation in ACTG2 gene in mother with chronic intestinal pseudoobstruction and fetus with megacystis microcolon intestinal hypoperistalsis syndrome","volume":"2017","author":"Whittington JR","year":"2017","journal-title":"Case Rep Genet"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2012.08.045"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000001608"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/nmo.13371"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.a.37857"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pgen.1004258"},{"key":"e_1_2_5_16_1","unstructured":"WanglerMF(2015).ACTG2\u2010related disorders. 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