• Small bowel obstruction, is a rare complication following cesarean section, due to herniation of bowel through the rectus sheath.
• This is a case of uncomplicated primary cesarean section. The incidence of small bowel obstruction after caesarean section is very low.
• In a population-based cohort study, the risk of small bowel obstruction among women with a cesarean delivery was 16.3/10,000 person-years versus 6.4/10,000 person-years in women without caesarean delivery (odds ratio [OR] 2.54, 95% CI 2.15-3.00); and an increasing number of cesarean deliveries was associated with an increasing risk of small bowel obstruction (OR 1.61, 95% CI 1.46-1.78, per additional cesarean delivery)(1).