Ogilvie syndrome following Caesarean section: a case report
DOI:
https://doi.org/10.12809/hkjgom.19.2.05Keywords:
Cesarean section, Colonic pseudo-obstruction, Intestinal pseudo-obstruction, Postpartum periodAbstract
A 31-year-old woman with a previous Caesarean section developed distended abdomen 1 day after a repeat Caesarean section. Radiological images showed dilated large bowel with suspicious transition point posterior to the uterus, but without mechanical cause for the obstruction. Colonoscopy showed no stricture or tumour or extrinsic compression, and a diagnosis of acute colonic pseudoobstruction (Ogilvie syndrome) was made. Endoscopic
decompression using a flatus tube was successful.
References
Jaffe T, Thompson WM. Large-bowel obstruction in the adult: classic radiographic and CT findings, etiology, and mimics. Radiology 2015;275:651-63.
Vanek VW, Al-Salti M. Acute pseudo-obstruction of the colon (Ogilvie’s syndrome). An analysis of 400 cases. Dis Colon Rectum 1986;29:203-10.
Ross SW, Oommen B, Wormer BA, et al. Acute colonic pseudo-obstruction: defining the epidemiology, treatment, and adverse outcomes of Ogilvie’s syndrome. Am Surg 2016;82:102-11.
Jayaram P, Mohan M, Lindow S, Konje J. Postpartum acute colonic pseudo-obstruction (Ogilvie’s syndrome): a systematic review of case reports and case series. Eur J Obstet Gynecol Reprod Biol 2017;214:145-9.
Cho FN, Liu CB, Li JY, Chen SN, Yu KJ. Adynamic ileus and acute colonic pseudo-obstruction occurring after cesarean section in patients with massive peripartum hemorrhage. J Chin Med Assoc 2009;72:657-62.
Ponec RJ, Saunders MD, Kimmey MB. Neostigmine for the treatment of acute colonic pseudo-obstruction. N Engl J Med 1999;341:137-41.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2019 Hong Kong Journal of Gynaecology, Obstetrics and Midwifery
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The Journal has a fully Open Access policy and publishes all articles under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) licence. For any use other than that permitted by this license, written permission must be obtained from the Journal.
