正常阴道分娩后并发盲肠穿孔的大肠急性假性梗阻：一例报告
Acute pseudo-obstruction of the large bowel with caecal perforation following normal vaginal delivery: a case report.
作者信息
Cartlidge David, Seenath Marlon
机构信息
Department of Surgery, University Hospital of North Staffordshire, Newcastle-under-Lyme, Stoke-on-Trent, ST4 6QG, UK.
出版信息
J Med Case Rep. 2010 Apr 29;4:123. doi: 10.1186/1752-1947-4-123.
INTRODUCTION
Acute pseudo-obstruction of the large bowel following normal vaginal delivery is an extremely rare complication of normal vaginal delivery. It can be fatal if not recognized early. Only one previous report has been found in the English literature.
CASE PRESENTATION
A 36-year old Caucasian, normally fit woman presented with abdominal distension and vomiting five days post-normal vaginal delivery at term. Localised peritonitis in the right iliac fossa developed in the next few days, and caecal perforation was found at laparotomy, without evidence of appendicitis or colitis.
CONCLUSION
Although very rare, Ogilvie's syndrome should be considered by obstetricians, general surgeons and general practitioners as a potential cause of vomiting and abdominal pain following normal vaginal delivery. Early recognition and management are essential to minimize the possibility of developing serious complications.
引言
正常阴道分娩后发生的大肠急性假性梗阻是正常阴道分娩极其罕见的并发症。若不及早识别，可能会致命。英文文献中仅发现过一篇相关报道。
病例介绍
一名36岁、身体状况正常的白种女性，足月正常阴道分娩五天后出现腹胀和呕吐。接下来的几天里，右髂窝出现局限性腹膜炎，剖腹探查时发现盲肠穿孔，未发现阑尾炎或结肠炎的迹象。
结论
尽管奥吉尔维综合征非常罕见，但产科医生、普通外科医生和全科医生应将其视为正常阴道分娩后呕吐和腹痛的潜在原因。早期识别和处理对于将发生严重并发症的可能性降至最低至关重要。
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