Ogilvie's syndrome following cesarean delivery

Kotsev, Strahil

doi:10.4103/1658-354x.84117

Cited by 12 publications

(9 citation statements)

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“…Ogilvie syndrome is a rare postsurgical complication, which can be associated with cesarean section. Clinically, it presents with abdominal distension and massive dilatation of the colon, without mechanical obstruction [2].…”

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confidence: 99%

Ogilvie Syndrome Following Caesarean Section: A Case Report

et al. 2021

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Background. Ogilvie syndrome is a rare postpartum complication. It is characterized by an acute colonic pseudo-obstruction which occurs in the absence of a mechanical cause. Early detection of the diagnosis is essential to avoid cecal perforation. Case report. We report a case of Ogilvie syndrome following caesarean section in a 39-year-old woman (gravida 2, para 2) with a history of secondary infertility 10 years ago due to tubal stenosis and subserous fibroma, which led to the indication for cesarean section in second pregnancy at 39 weeks of gestation. Three days after cesarean section, the patient presented with significant abdominal distension and tenderness, vomiting, weakness, and nausea; an abdominal X-ray showed cecal distension. Abdominal computed tomography scan with intravenous contrast revealed distension of the ascending and transverse colon with air-fluid levels but without transitional mechanical obstruction. The patient was successfully treated. Conclusions. Ogilvie syndrome is a rare but serious complication that should be considered in fit young patients who present with pain, severe abdominal distension and failure to pass flatus after caesarean section.

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Section: Discussionmentioning

confidence: 99%

Ogilvie Syndrome Following Caesarean Section: A Case Report

et al. 2021

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“…An accurate diagnosis is still difficult [ 5 , 17 , 18 ]. ACPO symptoms generally manifest within 48 h after surgery and within 12 days at the longest [ 19 ]. Abdominal distention and tenderness were the most common symptoms, followed by vomiting.…”

Section: Discussionmentioning

confidence: 99%

Acute colonic pseudo-obstruction with bowel rupture after caesarean section in HELLP syndrome: a case report

Peng

Cheng

2020

BMC Pregnancy Childbirth

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Background Ogilvie syndrome, also known as acute colonic pseudo-obstruction (ACPO), can occur postpartum after caesarean section (C-section), often resulting in caecal dilatation. The incidence rate is approximately 100 cases in 100,000 patients per year (Ross et al., Am Surg 82:102-11, 2016). Without proper diagnosis and treatment, it may progress to intestinal perforation or other fatal complications. Case presentation A 39-year-old pregnant woman underwent emergency low-segment C-section due to complications of Haemolysis, Elevated Liver enzymes and Low Platelets syndrome (HELLP) syndrome. ACPO was suspected on the third day after C-section based on inability to pass flatus, evident abdominal distension, slight abdominal pain, and computed tomography (CT) scan revealing severe, diffuse colonic distention with caecal dilatation of approximately 9 cm. Based on these findings, conservative treatment was implemented. However, 6 days after C-section, her symptoms worsened, and CT showed possible intestinal perforation; thus, an emergency laparotomy was performed. Due to a 3-cm (diameter) laceration in the anterolateral wall of the ascending colon and a 5-cm tear in the ileocecal junction, in combination with mucosal eversion in the colon, resection of the ileocecum, distal closure of the ascending colon, and a terminal ileostomy were performed. The patient was discharged 2 weeks post-laparotomy and continued to undergo nursing care for the incision and stoma. Ileostomy was performed 4 months later. Conclusion Ogilvie syndrome after C-section is an extremely rare but severe condition, which warrants early recognition and treatment to prevent potentially fatal complications, especially in patients with poor health status.

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“…I read with great interest the article entitled “Ogilvie's syndrome following cesarean delivery: The Dubai's case” by Strahil Kotsev. [ 1 ] I would like to congratulate the author for his nice effort in reporting such a case in Arabian population and pointing out that Arabian population is also not immune to such entity. However, I have a few observations in this connection and would like to add some interesting points too.…”

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“…I do completely agree with the author that 9–10 cm diameter of cecum and colon is an indication for nonsurgical treatment. [ 1 ] Vanek and Al-Salti[ 3 ] did not find any case of cecal perforation in patients with a cecal diameter <12 cm. The risk of perforation is directly proportional to the diameter of the colon (7% risk with 12–14 cm and 23% with >14 cm).…”

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confidence: 99%

“…[ 4 ] Pharmacologic management with parasympathomimetic drugs enhancing gut motility has been described in the treatment of Ogilvie's syndrome. [ 1 ] Neostigmine is extremely effective and is associated with only 20% recurrence rate. Neostigmine may produce transient but profound bradycardia and may not be suitable for patients with cardiopulmonary disease.…”

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