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[Ogilvie syndrome after Cesarean section].
B T Schjoldager1, J L Sørensen, T Svaerke
1Hillerød Sygehus, gynaekologisk-obstetrisk afdeling.
Ugeskrift for Laeger
|July 14, 2001
Summary
Ogilvie's syndrome, a rare condition causing colon obstruction, is often misdiagnosed, leading to dangerous cecal perforation. Early diagnosis through history, clinical assessment, and X-rays is crucial for timely treatment and preventing mortality.
Area of Science:
- Gastroenterology
- Surgical Complications
- Obstetrics
Context:
- Ogilvie's syndrome (acute colonic pseudo-obstruction) presents diagnostic challenges.
- It can lead to life-threatening cecal perforation.
- Post-cesarean section patients are at risk.
Purpose:
- To improve the diagnosis of Ogilvie's syndrome.
- To highlight diagnostic pitfalls and key indicators.
Summary:
- Seven cases of Ogilvie's syndrome post-cesarean section were analyzed.
- Patients experienced prolonged labor, complicated C-sections, and syntocinon treatment.
- Abdominal meteorism was a common symptom, preceding cecal perforation in five cases, occurring days after surgery.
Impact:
- Early diagnosis is critical due to rapid progression.
- Diagnosis relies on history, clinical evaluation, and abdominal X-ray.
- Intermittent flatus/stool does not exclude Ogilvie's syndrome and should not delay imaging.