Ogilvie’s Syndrome with Perforation Peritonitis after Caesarean Section

2021 ◽  
Author(s):  
Vivek Manoharan ◽  
Kishore G. S. Bharathy ◽  
Sadiq S. Sikora
Keyword(s):  
Caesarean Section ◽  
Ogilvie's Syndrome ◽  
Ogilvie’S Syndrome ◽  
Perforation Peritonitis

scholarly journals Appendiceal fat stranding on CT: a red herring in a post-caesarean section woman with Ogilvie’s syndrome (OS)

2019 ◽  
Vol 12 (5) ◽  
pp. e229228
Author(s):  
Kay Tai Choy ◽  
Heng-Chin Chiam
Keyword(s):  
Abdominal Pain ◽  
Caesarean Section ◽  
Exploratory Laparotomy ◽  
Right Hemicolectomy ◽  
Ogilvie's Syndrome ◽  
Ogilvie’S Syndrome ◽  
X Ray ◽  
Intravenous Antibiotics ◽  
The Right ◽  
Fat Stranding

A 30-year-old woman was referred for a surgical review with abdominal pain and distension 2 days post-caesearean section. Abdominal X-ray showed dilated bowel loops. CT of her abdomen however showed fat stranding around a thickened appendix, suggesting a differential diagnosis of acute appendicitis on top of a postoperative ileus. Failure to respond to intravenous antibiotics led to an emergent surgical exploratory laparotomy, by which time the progressive caecal dilatation had led to patchy necrosis and perforation of the right hemicolon intra-operatively. The patient required a right hemicolectomy and histological examination of the excised bowel supported the diagnosis of Ogilvie’s syndrome. This case highlights the red herrings that one can encounter when faced with a woman with post-caesarean section abdominal pain and aims to raise awareness among clinicians of this condition—where timely diagnosis and management is key.

A case of Ogilvie's syndrome after caesarean section

2002 ◽  
Vol 22 (6) ◽  
pp. 686-687 ◽  
Author(s):  
M. De ◽  
A. Mandal ◽  
J. C. Cooper
Keyword(s):  
Caesarean Section ◽  
Ogilvie's Syndrome ◽  
Ogilvie’S Syndrome

scholarly journals OGILVIE'S SYNDROME-RELATED RIGHT COLON PERFORATION AFTER CESAREAN SECTION: A CASE SERIES

2021 ◽  
pp. 37-39
Author(s):  
Konappa. V ◽  
Bharath Guntupalli ◽  
Bhavishya Gollapalli
Keyword(s):  
Caesarean Section ◽  
Case Series ◽  
Right Hemicolectomy ◽  
Water Soluble ◽  
Colon Perforation ◽  
Ogilvie's Syndrome ◽  
Right Colon ◽  
Ogilvie’S Syndrome ◽  
Mortality And Morbidity ◽  
Diagnostic Modalities

The objective of this article is to discuss and report three cases of right colon perforation secondary to post cesarean Ogilvie's syndrome (OS; colonic pseudo-obstruction) requiring right hemicolectomy. We retrospectively reviewed the case notes of three patients who underwent caesarean section and postoperatively developed OS. OS is an uncommon problem in patients undergoing caesarean section. Abdominal X-ray and water-soluble contrast enemaare the main diagnostic modalities. Drip-suck therapy along with endoscopic or pharmacological decompression should be performed in early stages. In a significant percentage of patients, diagnosis is delayed resulting in bowel ischemia and perforation requiring surgical resection and adding significant mortality/morbidity. We recommend our obstetric colleagues to involve surgical team in earlier stages to avoid surgery-related mortality and morbidity. We also advocate general surgeons to be aware of OS in patients after caesarean section and recommend a stepwise systematic approach toward the diagnosis and management of OS

scholarly journals Diagnosis and management of Ogilvie’s Syndrome post Caesarean Section.

2020 ◽  
Vol 19 (4) ◽  
pp. 157-162
Author(s):  
Leah Hawkins ◽  
Sunny Ajayi
Keyword(s):  
Caesarean Section ◽  
Lower Lobe ◽  
Abdominal Distension ◽  
Good Recovery ◽  
Ogilvie's Syndrome ◽  
Ogilvie’S Syndrome ◽  
Source Of Infection ◽  
Hospital Acquired Pneumonia ◽  
Return Home ◽  
Hospital Acquired

A 36-year-old woman presented to maternity unit two days post caesarean section (CS) with abdominal distension, pain and constipation. She was found to be septic on admission. Imaging demonstrated dilated bowel loops without an identifiable site of obstruction highlighting Ogilvie’s syndrome (OS) as the cause of her symptoms. Hospital acquired pneumonia (HAP) was identified as the source of infection with accompanying right sided lower lobe collapse. She was reviewed by multiple specialties to aid management and was subsequently managed conservatively for pseudo-obstruction. She made a good recovery and was able to return home after 10 days in hospital.

scholarly journals Ogilvie's syndrome following caesarean section

2013 ◽  
Vol 2013 (jun19 1) ◽  
pp. bcr2013010013-bcr2013010013 ◽  
Author(s):  
A. O. Latunde-Dada ◽  
D. I. Alleemudder ◽  
D. P. Webster
Keyword(s):  
Caesarean Section ◽  
Ogilvie's Syndrome ◽  
Ogilvie’S Syndrome
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