Ogilvie’s Syndrome after Cesarean Section: Case Report in Saudi Arabia and Management Approach

Background. Acute colonic pseudoobstruction or Ogilvie’s syndrome is a rare entity that is characterized by acute dilatation of the colon without any mechanical obstruction. It is usually associated with medical disease or surgery and rarely occurs spontaneously. If not diagnosed early, Ogilvie’s sy...

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Main Authors: Lamiaa Elsebay, Mariam Ahmed Galal
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2017/5328160
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author Lamiaa Elsebay
Mariam Ahmed Galal
author_facet Lamiaa Elsebay
Mariam Ahmed Galal
author_sort Lamiaa Elsebay
collection DOAJ
description Background. Acute colonic pseudoobstruction or Ogilvie’s syndrome is a rare entity that is characterized by acute dilatation of the colon without any mechanical obstruction. It is usually associated with medical disease or surgery and rarely occurs spontaneously. If not diagnosed early, Ogilvie’s syndrome may cause bowel ischemia and perforation. Case. A G7P4+2, 40-year-old woman, who is a known case of gestational diabetes mellitus during her current pregnancy, four previous cesarean sections, two early pregnancy losses at six-week gestation, and hypothyroidism, underwent uncomplicated elective cesarean section, after which she complained of abdominal distention. Conclusion. Ogilvie’s syndrome is a rare condition yet of interest to obstetricians, midwifery staff, and general surgeons because its early diagnosis and prompt treatment are the keystones to avoid any subsequent fatal complications. This case report reviews the clinical characteristics, diagnostic methods, and management of Ogilvie’s syndrome. Moreover, we suggest a management approach to help in early diagnosis and prompt management to improve the outcome of this potentially serious condition.
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spelling doaj-art-d1824a1ecd4e4b0c9bac702ad2651e382025-08-20T03:24:00ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922017-01-01201710.1155/2017/53281605328160Ogilvie’s Syndrome after Cesarean Section: Case Report in Saudi Arabia and Management ApproachLamiaa Elsebay0Mariam Ahmed Galal1Specialized Medical Center Hospital, Riyadh, Saudi ArabiaSpecialized Medical Center Hospital, Riyadh, Saudi ArabiaBackground. Acute colonic pseudoobstruction or Ogilvie’s syndrome is a rare entity that is characterized by acute dilatation of the colon without any mechanical obstruction. It is usually associated with medical disease or surgery and rarely occurs spontaneously. If not diagnosed early, Ogilvie’s syndrome may cause bowel ischemia and perforation. Case. A G7P4+2, 40-year-old woman, who is a known case of gestational diabetes mellitus during her current pregnancy, four previous cesarean sections, two early pregnancy losses at six-week gestation, and hypothyroidism, underwent uncomplicated elective cesarean section, after which she complained of abdominal distention. Conclusion. Ogilvie’s syndrome is a rare condition yet of interest to obstetricians, midwifery staff, and general surgeons because its early diagnosis and prompt treatment are the keystones to avoid any subsequent fatal complications. This case report reviews the clinical characteristics, diagnostic methods, and management of Ogilvie’s syndrome. Moreover, we suggest a management approach to help in early diagnosis and prompt management to improve the outcome of this potentially serious condition.http://dx.doi.org/10.1155/2017/5328160
spellingShingle Lamiaa Elsebay
Mariam Ahmed Galal
Ogilvie’s Syndrome after Cesarean Section: Case Report in Saudi Arabia and Management Approach
Case Reports in Obstetrics and Gynecology
title Ogilvie’s Syndrome after Cesarean Section: Case Report in Saudi Arabia and Management Approach
title_full Ogilvie’s Syndrome after Cesarean Section: Case Report in Saudi Arabia and Management Approach
title_fullStr Ogilvie’s Syndrome after Cesarean Section: Case Report in Saudi Arabia and Management Approach
title_full_unstemmed Ogilvie’s Syndrome after Cesarean Section: Case Report in Saudi Arabia and Management Approach
title_short Ogilvie’s Syndrome after Cesarean Section: Case Report in Saudi Arabia and Management Approach
title_sort ogilvie s syndrome after cesarean section case report in saudi arabia and management approach
url http://dx.doi.org/10.1155/2017/5328160
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