Mustafa ALBAYRAKa, Fatih KESKİNb, Hüseyin TİMUÇİNc, Ali SANCAKd, İsmail BIYIKe aFlorence Nightingale Hospital, Department of Obstetrics and Gynecology, İstanbul, TURKEY bPrivate Balkan Hospital, Department of Obstetrics and Gynecology, Luleburgaz, Kırklareli, TURKEY cPrivate Meydan Hospital, Department of General Surgery, Şanlıurfa, TURKEY dPrivate Meydan Hospital Şanlıurfa, Department of Obstetrics and Gynecology, Şanlıurfa, TURKEY eKütahya Health Sciences University Faculty of Medicine, Department of Obstetrics and Gynecology, Kütahya, TURKEY
ABSTRACT Ogilvie's syndrome (acute colonic pseudo-obstruction) is acute massive functional dilatation of bowel without a distal mechanical obstruction. It is a rare, relatively unknown but potentially lethal entity because of its propensity for caecal perforation. Although commonly a disease of elderly with underlying co-morbidities especially following surgical interventions, caesarean section is the most common predisposing factor in obstetric age group. Diagnosis depends on the gross dilatation of caecum and ascending colon and exclusion of distal mechanical obstruction. Failure to respond to conventional measures necessities decompression of colon with colonoscopy and/or tube caecostomy in patients without perforation. Any sign of perforation mandates surgical intervention in which mortality is reported to be around 40%. Increased awareness and early diagnosis are at paramount importance to prevent bowel perforation.
Reeves M, Frizelle F, Wakeman C, Parker C. Acute colonic pseudo-obstruction in pregnancy. ANZ J Surg. 2015;85(10):728-33. [Crossref][PubMed]
Bozin M, Khomko N, Shedda S. Recurrence of acute colonic pseudo-obstruction post-caesarean section: a case report. ANZ J Surg. 2014;84(3):196-7. [Crossref][PubMed]
Vanek VW, Al-Salti M. Acute pseudo-obstruction of the colon (Ogilvie's syndrome). An analysis of 400 cases. Dis Col Rectum. 1986;29(3):203-10. [Crossref][PubMed]
Elsebay L, Galal MA. Ogilvie's syndrome after cesarean section: case report in Saudi Arabia and Management Approach. Case Rep Obstet Gynecol. 2017;2017:5328160. [Crossref][PubMed][PMC]
Jayaram P, Mohan M, Lindow S, Konje J. Postpartum acute colonic pseudo-obstruction (Ogilvie's syndrome): a systematic review of case reports and case series. Eur J Obstet Gynecol Reprod Biol. 2017;214:145‐9. [Crossref][PubMed]
Latunde-Dada AO, Alleemudder DI, Webster DP. Ogilvie's syndrome following caesarean section. BMJ Case Rep. 2013;2013: bcr2013010013. [Crossref][PubMed][PMC]