Saha Arin K, Newman Eleanor, Giles Matthew, Horgan Kieran
Department of Surgery, The General Infirmary at Leeds, Leeds Teaching Hospitals NHS Trust Great George Street, Leeds, LS1 3EX UK.
J Med Case Rep. 2009 Jun 5;3:6177. doi: 10.4076/1752-1947-3-6177.
Ogilvie's syndrome describes the phenomenon of an acute colonic pseudo-obstruction without a mechanical cause. It is rare but has been reported to occur after Caesarean section. It can lead to bowel perforation or ischaemia.
A healthy, 28-year-old Caucasian woman presented 2 weeks past her expected date of delivery for her first pregnancy. She underwent an uncomplicated elective Caesarean section but developed abdominal pain and bloating postoperatively and was subsequently diagnosed with acute colonic pseudo-obstruction, also known as Ogilvie's syndrome.
This case report highlights the rare, but potentially dangerous, diagnosis of Ogilvie's syndrome after Caesarean section. It is of particular interest to obstetricians, midwifery staff and general surgeons and shows the importance of accurate diagnosis, regular abdominal reassessment and early senior input to ensure appropriate and rapid treatment.
奥吉尔维综合征描述的是一种无机械性病因的急性结肠假性梗阻现象。它较为罕见，但有报道称在剖宫产术后会发生。它可能导致肠穿孔或缺血。
一名健康的28岁白人女性，首次怀孕，超过预产期两周前来就诊。她接受了一次无并发症的择期剖宫产，但术后出现腹痛和腹胀，随后被诊断为急性结肠假性梗阻，也称为奥吉尔维综合征。
本病例报告强调了剖宫产术后奥吉尔维综合征这一罕见但潜在危险的诊断。产科医生、助产人员和普通外科医生对此特别关注，它显示了准确诊断、定期腹部重新评估以及早期上级介入以确保适当和快速治疗的重要性。
