Coexistence of Ogilvie syndrome and rectus sheath hematoma after cesarean section: a rare combination of two potentially life-threatening conditions
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20261294Keywords:
Ogilvie syndrome, Pseudocolonic obstruction, Caesarean section complications, HematomaAbstract
Ogilvie syndrome, or acute colonic pseudo-obstruction, occurs in less than 1% of patients undergoing surgery (organ transplant, orthopedic, gynecologic, and urologic surgeries), which increases both morbidity and mortality. Rectus sheath hematoma is another uncommon abdominal pathology, typically arising from trauma, anticoagulation or sudden increase in intra-abdominal pressure. The coexistence of these two entities in the same patient is extremely unusual and can pose significant diagnostic and management challenges.
References
Ogilvie H. Large-intestine colic due to sympathetic deprivation. Br Med J. 1948;2(4579):671-3.
Chudzinski AP, Thompson EV, Ayscue JM. Acute colonic pseudoobstruction. Clin colon rectal surg. 2015;28(2):112-7.
Ahmad MU, Riley KD, Ridder TS. Acute colonic pseudo-obstruction after posterior spinal fusion: a case report and literature review. World Neurosurg. 2020;142:352-63.
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.
Schermer CR, Hanosh JJ, Davis M, Pitcher DE. Ogilvie’s syndrome in the surgical patient: a new therapeutic modality. J Gastrointest Surg. 1999;3(2):173-7.
Greenstein AJ, Sachar DB, Gibas A, Schrag D, Heimann T, Janowitz HD, et al. Outcome of toxic dilatation in ulcerative and Crohn's colitis. J clin gastroenterol. 1985;7(2):137-44.
Romeo DP, Solomon GD, Hover AR. Acute colonic pseudo-obstruction: a possible role for the colocolonic reflex. J clin gastroenterol. 1985;7(3):256-60.
Zia SU, Shukla PS, Chalasani R, Mun S, Van de Vel G. Efficacy of Colonoscopic Decompression in the Management of Ogilvie Syndrome: A Systematic Review. Cureus. 2025;17(9).
Downloads
Published
How to Cite
Issue
Section
