Ogilvie's syndrome (acute colonic pseudo-obstruction) after caesarean section

Ogilvie's syndrome (acute colonic pseudo-obstruction) after caesarean section

Ogilvie's syndrome (OS), a massive dilation of the colon in the absence of mechanical obstruction, is a rare postsurgical complication. The high mortality rate (normally 15-31% and upto 45% after caecal perforation) explains the seriousness of this clinical situation. Early diagnosis is made by...

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Veröffentlicht in:Journal of the College of Physicians and Surgeons--Pakistan 2013-04, Vol.23 (4), p.298-300
Hauptverfasser: Munzar, Zeba, Munir, Tahir Ahmad, Asad, Munazza
Format: Artikel
Sprache:eng
Schlagworte:
Adult
Case studies
Cesarean section
Cesarean Section - adverse effects
Colonic Pseudo-Obstruction - diagnosis
Colonic Pseudo-Obstruction - etiology
Colonic Pseudo-Obstruction - therapy
Complications and side effects
Female
Humans
Postoperative Complications - diagnosis
Postoperative Complications - therapy
Pregnancy
Tomography, X-Ray Computed
Treatment Outcome
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Beschreibung
Zusammenfassung:Ogilvie's syndrome (OS), a massive dilation of the colon in the absence of mechanical obstruction, is a rare postsurgical complication. The high mortality rate (normally 15-31% and upto 45% after caecal perforation) explains the seriousness of this clinical situation. Early diagnosis is made by plain abdominal X-ray and CT abdomen. Conservative treatment is usually effective and surgery should be reserved for complicated cases or refractory to conservative treatment. We report a case of 25 years primigravida who developed OS, 24 hours after cesarean section, which was treated by conservative methods.
ISSN:1022-386X
1681-7168