A Rare and Potentially Mortal Post-Caesarean Complication: Ogilvie's Syndrome-Acute Colonic Pseudo-Obstruction

Mustafa ALBAYRAK, Fatih KESKİN, Hüseyin TİMUÇİN, Ali SANCAK, İsmail BIYIK
2020 Journal of Clinical Obstetrics & Gynecology  
ABS TRACT Ogilvie's syndrome (acute colonic pseudo-obstruction) is acute massive functional dilatation of bowel without a distal mechanical obstruction. It is a rare, relatively unknown but potentially lethal entity because of its propensity for caecal perforation. Although commonly a disease of elderly with underlying co-morbidities especially following surgical interventions, caesarean section is the most common predisposing factor in obstetric age group. Diagnosis depends on the gross
more » ... on the gross dilatation of caecum and ascending colon and exclusion of distal mechanical obstruction. Failure to respond to conventional measures necessities decompression of colon with colonoscopy and/or tube caecostomy in patients without perforation. Any sign of perforation mandates surgical intervention in which mortality is reported to be around 40%. Increased awareness and early diagnosis are at paramount importance to prevent bowel perforation.
doi:10.5336/jcog.2020-75394 fatcat:eqm7r4cvynct7kunuyqfk5kecm