Ogilvie’s syndrome following cesarean delivery: a case report

Authors

  • Maheen Zaidi Department of surgery, Baqai University Hospital, Pakistan
  • Syeda Kashaf Zaidi Dow University of Health Sciences, Karachi, Pakistan
  • Mohammad Yasir Umer Jinnah Sindh Medical University, Karachi, Pakistan
  • Hanaa Tariq Department of Community Medicine, Baqai Medical University, Pakistan
  • Syed Uzair Mahmood Department of medicine, health and life sciences, Queen’s University of Belfast, United Kingdom

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20213817

Keywords:

OS, Cesarean section, Abdominal distention, Diagnosis

Abstract

Ogilvie’s syndrome (OS) or acute pseudo-obstruction of the large bowel, is a rare condition and the true incidence is unknown. We present a case of acute colonic pseudo-obstruction (OS) post cesarean section in a 35-year-old patient with fetal distress, following cesarean delivery at term under general anesthesia. On the second postoperative day, she complained of abdominal distension, pain, nausea, vomiting, bloating and no passage of stool. As the patient's condition did not improve, she continued to have persistent abdominal distention. A plain abdominal film was taken and abdominal ultrasound was done, which showed massive gaseous distention of the bowels without fluid level. At laparotomy, a huge distended gut, pussy flakes on intestine, and massive dilatation of the whole colon were found. Postoperatively, the patient was managed with fluids, antibiotics, nutritional support, etc., along with the standard guidelines for management of peritonitis. The patient recovered and was discharged after 1 day of intensive care unit management to the ward. The need for awareness about the syndrome and early diagnosis is emphasized.

 

References

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Published

2021-09-27

How to Cite

Zaidi, M., Zaidi, S. K., Umer, M. Y., Tariq, H., & Mahmood, S. U. (2021). Ogilvie’s syndrome following cesarean delivery: a case report. International Journal Of Community Medicine And Public Health, 8(10), 5045–5048. https://doi.org/10.18203/2394-6040.ijcmph20213817

Issue

Section

Case Reports