Ogilvie syndrome following Caesarean section: a case report

Authors

  • Linus Lin Tai LEE
  • Dorothy Yuet Tao NG

DOI:

https://doi.org/10.12809/hkjgom.19.2.05

Keywords:

Cesarean section, Colonic pseudo-obstruction, Intestinal pseudo-obstruction, Postpartum period

Abstract

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.

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Published

2023-04-06

How to Cite

1.
LEE LLT, NG DYT. Ogilvie syndrome following Caesarean section: a case report. Hong Kong J Gynaecol Obstet Midwifery [Internet]. 2023 Apr. 6 [cited 2024 Mar. 29];19(2). Available from: https://hkjgom.org/home/article/view/269

Issue

Section

Case Report