Ogilvie Syndrome as a Postoperative Complication

Tenofsky, Patty L.

doi:10.1001/archsurg.135.6.682

Cited by 83 publications

(93 citation statements)

References 18 publications

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“…Frequent clinical assessment, serial abdominal X-rays, and white cell counts monitoring should detect these complications early. 8,4 Ogilvie syndrome usually resolves with conservative therapy, which includes stopping oral intake and inserting nasogastric tube. Colonic decompression is successful in 70% of the cases.…”

Section: Discussionmentioning

confidence: 99%

“…1 The condition mainly affects the caecum and right colon [1][2][3] It is more common in the elderly and those with systemic illnesses. 2,4 In 50-60% of cases the preceding cause is trauma or surgical procedure, most commonly caesarean section. [3][4][5] We report a rare case of Ogilvie syndrome one week following an emergency caesarean section.…”

Section: Introductionmentioning

confidence: 99%

“…2,4 In 50-60% of cases the preceding cause is trauma or surgical procedure, most commonly caesarean section. [3][4][5] We report a rare case of Ogilvie syndrome one week following an emergency caesarean section.…”

Section: Introductionmentioning

confidence: 99%

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

Yulia

Guirguis

2017

IPCB

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

Yulia

Guirguis

2017

IPCB

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Section: Introductionmentioning

confidence: 99%

“…It has an incidence of 0.1% approximately following major surgeries [1] like cardiac and hip surgery [2,3]. In women, caesarean section appears to be the most common surgery associated with Ogilvie's syndrome [4].We report a case of recurrent Ogilvie's syndrome in two consecutive Caesarean sections in a patient with severe pre-eclampsia. On both occasions she was successfully managed conservatively.…”

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confidence: 99%

Recurrence of Ogilvie’s Syndrome, a Rare Postoperative Complication in Second Caesarean Section

2016

J Syndr

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Acute colonic pseudo obstruction (ACPO), also known as Ogilvie's syndrome is a very rare postoperative complication of Caesarean section. It has classically been reported in critically ill patients and following cardiac and hip surgery. Whether this complication recurs in subsequent operations is not known. Only one case report of recurrence following caesarean section was found in literature survey. We report a case of Ogilvie's syndrome which recurred in the second Caesarean section and was successfully managed conservatively. IntroductionOgilvie's syndrome or acute colonic pseudo obstruction (ACPO) is a rare but potentially fatal postoperative complication which is characterised by severe adynamic ileus with massive colonic dilatation in the absence of mechanical obstruction. Sir William Heneage Ogilvie described this syndrome in 1948 which was subsequently named after him. It has an incidence of 0.1% approximately following major surgeries [1] like cardiac and hip surgery [2,3]. In women, caesarean section appears to be the most common surgery associated with Ogilvie's syndrome [4].We report a case of recurrent Ogilvie's syndrome in two consecutive Caesarean sections in a patient with severe pre-eclampsia. On both occasions she was successfully managed conservatively. This case is unique because it seems to be the second such reported case of post cesarean section recurrent Ogilvie's syndrome (MEDLINE with search terms pseudo obstruction, post caesarean, and recurrence). Given the rising trend of caesarean sections, it is intuitive that this rare syndrome may not remain rare in the future. Obstetricians thus need to have awareness regarding the features, preventive measures and early recognition and management of this complication because patients may have to undergo cesarean sections in more than one occasions in her lifetime. Case PresentationA 33 years old P2+0 with 2 previous caesarean sections was referred to our hospital with gradual distension of abdomen from the 5 th postoperative day of Caesarean section. She had no stool since operation but was passing flatus without any vomiting or fever. She had undergone emergency Caesarean section under spinal anaesthesia in a peripheral health unit for severe pre-eclampsia in a post caesarean pregnancy.The operative notes in the referral card mentioned that she Case Report Open Access Journal of Syndromeshad an episode of postpartum haemorrhage on the operation table which was managed by syntocinon drip, prostaglandin F2 ɑ (250 mcg I.M) and per rectal misoprostol (800 mcg). The estimated blood loss was around 1000 ml which was replaced with crystalloids and

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