The rare Ogilvie's syndrome during pregnancy with scrub typhus and dengue co-infection

Authors

  • Nazreen Department of Obstetrics and Gynaecology, Sri Venkateswaraa Medical College Hospital and Research Centre, Ariyur, Puducherry, India
  • Hiremath P. B. Department of Obstetrics and Gynaecology, Sri Venkateswaraa Medical College Hospital and Research Centre, Ariyur, Puducherry, India
  • Sindhujha Sekar Department of Obstetrics and Gynaecology, Sri Venkateswaraa Medical College Hospital and Research Centre, Ariyur, Puducherry, India
  • Kalaivani Department of Obstetrics and Gynaecology, Sri Venkateswaraa Medical College Hospital and Research Centre, Ariyur, Puducherry, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20250530

Keywords:

Ogilvie, Caesarean, Postpartum, Pregnancy, Surgery

Abstract

Ogilvie’s syndrome is a syndrome characterized by symptoms suggestive of intestinal obstruction without any mechanical cause. Otherwise known as acute colonic pseudo-obstruction (ACPO). This condition is very uncommon, however it is very important to recognize it at the earliest, as it increases the risk of mortality and morbidity if left untreated. It is mostly seen post traumatic or post operative. Though commonly seen associated with post caesarean section, rarely seen during the period of pregnancy. The treatment is fundamentally conservative, but the need of surgical management has also been reported in severe cases. Here, we describe the rare Ogilvie’s syndrome in young pregnant term female that continued to progress despite appropriate treatment.

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References

Ogilvie H. Large-intestine colic due to sympathetic deprivation; a new clinical syndrome. Br Med J. 1948;2(4579):671-3 DOI: https://doi.org/10.1136/bmj.2.4579.671

Fazel A, Verne GN. New solutions to an old problem: acute colonic pseudo obstruction. J Clin Gastroenterol 2005;39(1):17-20.

Harnsberger CR. Acute colonic pseudo-obstruction (Ogilvie’s syndrome). Semi Colon Rectal Surg. 2019;30:100690. DOI: https://doi.org/10.1016/j.scrs.2019.100690

Kurz A, Sessler DI. Opioid-Induced Bowel Dysfunction: Pathophysiology and Potential New Therapies. Drugs. 2003;63(7):649-71. DOI: https://doi.org/10.2165/00003495-200363070-00003

Bernardi M, Warrier S, Lynch AC, Heriot AG. Acute and chronic pseudo‐obstruction: a current update. ANZ J Surg. 2015;85(10):709-14. DOI: https://doi.org/10.1111/ans.13148

Hedderson M, Lee D, Hunt E, Lee K, Xu F, Mustille A, et al. Enhanced Recovery After Surgery to Change Process Measures and Reduce Opioid Use After Cesarean Delivery: A Quality Improvement Initiative. Obstetr Gynecol. 2019;134(3):511-9. DOI: https://doi.org/10.1097/AOG.0000000000003406

Conner S, Nassereddin A, Mitchell C. Ogilvie Syndrome. StatPearls, Treasure Island (FL): StatPearls Publishing. 2024.

Margot A, Xavier H. Post Caesarean Ogilvie’s Syndrome. J Belg Soc Radiol. 2016;100(1):73. DOI: https://doi.org/10.5334/jbr-btr.905

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Published

2025-02-26

How to Cite

Nazreen, B., H. P., Sekar, S., & Kalaivani. (2025). The rare Ogilvie’s syndrome during pregnancy with scrub typhus and dengue co-infection. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 14(3), 918–921. https://doi.org/10.18203/2320-1770.ijrcog20250530

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Section

Case Reports