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Related Experiment Videos

Acute colonic pseudo-obstruction after caesarean section.

M A Dickson1, J H McClure

  • 1Department of Anaesthetics, Edinburgh Royal Infirmary, Edinburgh, UK.

International Journal of Obstetric Anesthesia
|October 1, 1994
PubMed
Summary

A rare complication of caesarean sections, Ogilvie's Syndrome (pseudo-obstruction of the large bowel), can occur post-anaesthesia. This condition involves a non-obstructed, yet non-moving, bowel that may lead to serious outcomes if untreated.

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Area of Science:

  • Gastroenterology
  • Obstetrics & Gynecology
  • Anesthesiology

Background:

  • Postoperative pseudo-obstruction of the large bowel, also known as Ogilvie's Syndrome, is a rare but serious complication.
  • It is characterized by a mechanically unobstructed but adynamic large bowel, potentially leading to cecal dilation.

Purpose of the Study:

  • To discuss the association between anesthesia and the rare postoperative complication of Ogilvie's Syndrome following caesarean section.
  • To highlight the clinical presentation, potential severity, and underlying mechanisms of this condition.

Main Methods:

  • Case report of a 32-year-old patient who developed Ogilvie's Syndrome after an elective caesarean section.
  • Literature review on the association of anesthesia with postoperative large bowel pseudo-obstruction.

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Main Results:

  • The patient developed symptoms consistent with Ogilvie's Syndrome post-caesarean section.
  • The study discusses the potential link between anaesthesia and the development of this rare complication.

Conclusions:

  • Ogilvie's Syndrome is a rare postoperative complication associated with caesarean sections and anaesthesia.
  • The underlying mechanism is presumed to be an autonomic nervous system imbalance, with significant mortality if cecal perforation occurs.