Acute colonic pseudo-obstruction after emergency lower segment caesarian section: a case report

Deepti Sharma

doi:10.18203/2320-1770.ijrcog20250543

Authors

Deepti Sharma Department of Obstetrics and Gynaecology, VCSG Govt. Medical College, Srinagar, Uttarakhand, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20250543

Keywords:

Acute colonic pseudo-obstruction, Lower segment caesarian section, Ogilvie’s syndrome

Abstract

Acute colonic pseudo-obstruction (ACPO) is rare condition due to acute dilation of large bowel without any mechanical obstruction. It is usually found in patients with severe illness, trauma and surgical procedures; of which caesarian section is most common operation associated with it. It creates a diagnostic dilemma and caries high mortality if not managed early and appropriately with multidisciplinary approach. Here, I present a case report of ACPO developed after emergency lower segment caesarian section (LSCS).

Metrics

Metrics Loading ...

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

Wells C, O’Grady G, Bissett I. Acute colonic pseudo-obstruction: a systematic review of aetiology and mechanisms. World J Gastroenterol. 2017;23(30):5634-44. DOI: https://doi.org/10.3748/wjg.v23.i30.5634

Vanek VW, Al-Salti M. Acute pseudo-obstruction of the colon (Ogilvie’s syndrome). An analysis of 400 cases. Dis Colon Rectum. 1986;29(3):203-10.

Wuntakal R, Janga D, Erskine K. Ogilvie syndrome: staff awareness and senior input is vital for early diagnosis. J Obstet Gynaecol. 2009;29(2):155-7. DOI: https://doi.org/10.1080/01443610802668912

Vanek VW, Al-Salti M. Acute pseudo-obstruction of the colon (Ogilvie’s syndrome). An analysis of 400 cases. Dis Colon Rectum. 1986;29(3):203-10. DOI: https://doi.org/10.1007/BF02555027

Busch FW, Hamdorf JM, Carroll CS Sr, Magann EF, Morrison JC. Acute colonic pseudo-obstruction following cesarean delivery. J Miss State Med Assoc. 2004;45(11):323-6.

Sahaa K, Newman e, Giles M, Kieran H. Ogilvie’s syndrome with caecal perforation after Caesarean section: a case report. 2009;3:6177. DOI: https://doi.org/10.4076/1752-1947-3-6177

Latunde-Dada AO, Djavid IA, Daniel PW. Ogilvie's syndrome following caesarean section. BMJ Case Rep 2013;2013:bcr2013010013. DOI: https://doi.org/10.1136/bcr-2013-010013

Fukuya T, Hawes DR, Lu CC, Chang PJ, Barloon TJ. CT diagnosis of small-bowel obstruction: efficacy in 60 patients. AJR. 1992;158(4):765-9. DOI: https://doi.org/10.2214/ajr.158.4.1546591

Choi SJ, Lim SJ, Kim H, Colonic Pseudoobstruction: CT Findings. AJR. 2008;190(6):1521-6. DOI: https://doi.org/10.2214/AJR.07.3159