DOI: 10.36347/sjmcr.2020.v08i05.014

Pages: 549-551

A 51-year-old woman underwent open subtotal hysterectomy and bilateral salpingo-oophorectomy under general anesthesia. General anesthesia was maintained with desflurane-oxygen-air and continuous infusion of remifentanil. The operation proceeded without problems. The duration of anesthesia was 2 hours 30 minutes. In the postanesthesia care unit, pethidine (25 mg) was injected and the patient did not complain of nausea or vomiting. She remained in the postanesthesia care unit for approximately 40 minutes and was then transferred to a general ward. Three hours later, she complained of nausea and the nausea persisted and abdominal distention developed. After approximately 1 hour, dyspnea developed and her respiration rate reached 30/min. Abdominal radiography revealed diffuse small bowel ileus. An L-tube was inserted and dyspnea resolved within 30 minutes. After 1 hour 30 minutes, gas was expelled and recovery of abdominal distension was observed.