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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 grossdoi:10.5336/jcog.2020-75394 fatcat:eqm7r4cvynct7kunuyqfk5kecm