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Acute colonic pseudoobstruction complicating twin pregnancy: a case report
Celestine S Tung1, Israel Zighelboim, Michael O Gardner
1Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas, USA. ctung@mdanderson.org
Background:
Acute colonic pseudoobstruction, or Ogilvie's syndrome, is a rare but serious medical and obstetric complication. When diagnosed early, treatment with expectant management or more invasive decompression is often successful. However, if not recognized promptly or managed appropriately, this condition can be fatal.
Case:
We present an unusual case of acute colonic pseudoobstruction occurring after management of preterm labor in a monochorionic-diamniotic twin pregnancy at 29 weeks' gestation complicated with twin-twin transfusion syndrome.
Conclusion:
Acute colonic pseudoobstruction should be considered in the differential diagnosis in pregnant women who present with abdominal distention and vomiting.
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