- Post laparotomy: after handling/manipulation intestines → resolves as patient recovers
- S/P abdominal operation
- Longer operative time, prolonged handling of intestines
- Nausea, vomiting, abdominal distention, no bowel movement, minimal/no flatus
- As recover from ileus: begin passing gas, decreased abdominal discomfort/distention
- Abdominal distention, now or few bowel sounds