Ogilvie's syndrome following caesarean section
Adeyinka Oluseun Latunde-Dada1, Djavid I Alleemudder, Daniel P Webster
1Department of Obstetrics and Gynaecology, Poole Hospital, Poole, UK. seunld222@gmail.com
BMJ Case Reports
|June 21, 2013
Summary
Ogilvie syndrome, a rare bowel obstruction, can rapidly develop after emergency C-sections. Prompt colonic decompression is crucial to prevent serious complications like caecal rupture.
Area of Science:
- Gastroenterology
- Obstetrics & Gynecology
Background:
- Acute colonic pseudo-obstruction syndrome (Ogilvie syndrome) is a rare condition with high morbidity and mortality.
- It presents as a functional obstruction of the colon without a mechanical cause.
Observation:
- A 20-year-old woman developed rapid abdominal distension and pain post-emergency cesarean section.
- Diagnosis of Ogilvie syndrome was confirmed via abdominal X-ray showing gross large bowel obstruction.
Findings:
- The patient's condition rapidly progressed after delivery.
- Emergency colonic decompression was successfully performed to avert cecal rupture.
Implications:
- This case highlights the potential for rapid onset of Ogilvie syndrome following obstetric procedures.
- Early recognition and intervention are vital for managing this critical condition and improving patient outcomes.
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