Journal of

Case Reports and Images in Obstetrics and Gynecology

 
     
Case Report
 
Post cesarean section acute colonic pseudo-obstruction (Ogilvie syndrome): A case report
W. Carlino1, H. Hanna1, O. Eskandar1
1Department of Obstetrics and Gynecology, North Devon District Hospital, Barnstaple, Devon, EX31 4JB

Article ID: 100027Z08WC2017
doi:10.5348/Z08-2017-27-CR-7

Address correspondence to:
Mr. Osama Eskandar FRCOG - MFSRH,Barnstaple
Department of Obstetrics and Gynecology, North Devon District Hospital
Devon, EX31 4JB
UK

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How to cite this article:
Carlino W, Hanna H, Eskandar O. Post cesarean section acute colonic pseudo-obstruction (Ogilvie syndrome): A case report. J Case Rep Images Gynecol Obstet 2017;3:27–31.


ABSTRACT
Introduction: Acute colonic pseudo-obstruction (ACPO), also known as Ogilvie syndrome is a condition characterized by massive colonic distension in the absence of mechanical obstruction. In female patients, it has an association with cesarean section. Ogilvie syndrome is a rare and therefore infrequently reported condition. However, it can be associated with serious morbidity and mortality.
Case Report: A 33-year-old female developed Ogilvie syndrome quickly after an emergency cesarean section. She was managed conservatively with a prokinetic (drug which enhances gastrointestinal motility) following confirmation of an acute colonic pseudo-obstruction on computed tomography scan and she made a full recovery.
Conclusion: Mortality rates from Ogilvie syndrome are quoted as between 36–50% when bowel perforation or ischemia develops. Clinicians should be aware that ACPO can complicate cesarean sections. Mechanical obstruction should be excluded by radiological imaging including X-ray and computed tomography scan. A prompt management plan should be in place and we suggest a logarithm to manage such cases. This case illustrates the importance of early diagnosis and management as well as effective communication between the surgical and obstetric team.

Keywords: Acute colonic pseudo-obstruction, Ogilvie syndrome, Post cesarean


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Author Contributions
W. Carlino – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
H. Hanna – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
O. Eskandar – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 W. Carlino et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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