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Ogilvie's Syndrome with Perforation Peritonitis after Caesarean Section
Vivek Manoharan1, Kishore G S Bharathy1, Sadiq S Sikora1
1Department of Surgical Gastroenterology & Liver Transplantation, Sakra World Hospital, SY No.52/2 & 52/3, Devarabeesanahalli, Opposite Intel, Varthur Hobli, Bangalore, 560103 India.
Journal of Obstetrics and Gynaecology of India
|December 2, 2022
Summary
Ogilvie's syndrome, a rare post-Caesarean complication, involves acute colonic pseudo-obstruction. Early diagnosis and intervention are crucial to prevent severe outcomes like peritonitis.
Area of Science:
- Gastroenterology
- Obstetrics & Gynecology
- Surgical Critical Care
Background:
- Acute colonic pseudo-obstruction, or Ogilvie's syndrome, is uncommon in the postpartum period after Cesarean section.
- It necessitates a high index of suspicion for timely diagnosis and management.
Observation:
- A case of a young primigravida who developed Ogilvie's syndrome and peritonitis 5 days post-Cesarean section is presented.
- The Cesarean section was elective and uneventful.
Findings:
- Rapidly progressive cecal dilatation can lead to perforation peritonitis, a life-threatening complication.
- This entity is infrequently documented in medical literature.
Implications:
- Highlights the importance of recognizing Ogilvie's syndrome in postpartum patients following Cesarean delivery.
- Emphasizes the need for prompt diagnosis and management to avoid surgical emergencies like peritonitis.
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