Özet:

Postoperative ileus (POI) is a complex phenomenon with significant morbidity and mortality and can be seen in many surgical fields. A 50-year-old woman with no known risk was diagnosed with treatment-resistant menometrorrhagia and underwent total abdominal hysterectomy and bilateral salpingeooophorectomy (TAH+BSO). The patient, who did not have any problems in the perioperative and postoperative periods, and gas-fecal output was observed, was discharged on the 4th postoperative day. However, on the 6th postoperative day, when he applied to the emergency service with vomiting and abdominal pain (acute abdomen), ileus was found to have developed by his clinic, analyzes and imaging methods. Thereupon, oral intake was stopped in the patient, and metoclopramide and lactase enema were started as medical treatment. In the imaging methods performed, serous fluid related to the intra-abdominal and subcutaneous ileus was observed and the patient was relieved by placing a subcutaneous hemovac drain. In about 5 days, the patient's ileus ended without the need for re-operation and the patient was discharged with full recovery. In this case report, we have shown that POI can be prevented and treated without the need for an operation in the early period with simple but effective methods.

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