Ogilvie Syndrome - An Acute Pseudo-Colonic Obstruction One Week Following Caesarean Section: A Case Report

Abstract

Ogilvie syndrome or acute pseudo-obstruction of the colon is a rare condition characterized by progressive dilatation of the proximal colon in the absence of any mechanical obstruction. We present an interesting case of an acute pseudo-colonic obstruction one week following Caesarean section. The condition mainly affects the caecum and right colon, and can lead to life-threatening perforation. In 50-60% of cases the preceding cause is trauma or surgical procedure, most commonly caesarean section. Despite numerous subsequent clinical reports and accurate description of the syndrome, the diagnosis of Ogilvie's syndrome remains a challenge and it is still associated with significant morbidity and mortality. Although the diagnosis Ogilvie syndrome is not common, an awareness of this condition can aid clinicians to consider Ogilvie syndrome as one of the differential diagnoses when assessing patients with lower abdominal pain, distension, pyrexia with or without vomiting following caesarean section.