Hamed A D, Dare F O
Department of Radiology, Obafemi Awolowo University, Ile-Ife, Nigeria.
Int J Gynaecol Obstet. 1992 Jan;37(1):47-50. doi: 10.1016/0020-7292(92)90977-q.
Four cases of Ogilvie's syndrome (acute colonic pseudo-obstruction) are reported. All occurred in the early puerperium following cesarean section and cesarean hysterectomy. In three of the patients, the diameter of the distended cecum was less than 9.0 cm and so management was conservative while in the fourth patient it was more than 9.0 cm, and so surgical intervention was carried out. A cecal diameter of 9.0 cm or above is an indication for surgical intervention to prevent possible colonic perforation. Other indications for surgery include established cecal perforation and failed conservative management. It is important that an early diagnosis is made and management instituted in order to prevent complications and associated high mortality.
本文报告了4例奥吉尔维综合征（急性结肠假性梗阻）。所有病例均发生在剖宫产和剖宫产子宫切除术后的产褥早期。其中3例患者扩张盲肠的直径小于9.0 cm，因此采取保守治疗，而第4例患者的盲肠直径大于9.0 cm，因此进行了手术干预。盲肠直径9.0 cm及以上是进行手术干预以预防可能的结肠穿孔的指征。手术的其他指征包括已确诊的盲肠穿孔和保守治疗失败。早期诊断并采取相应治疗措施以预防并发症及相关的高死亡率非常重要。
