Roux M, Fichez A, Roth P, Gaucherand P
Maternité de l'hôpital Édouard-Herriot, Lyon, France.
Gynecol Obstet Fertil. 2011 Jan;39(1):e15-9. doi: 10.1016/j.gyobfe.2010.08.006. Epub 2010 Dec 22.
Ogilvie's syndrome is a rare postsurgical complication. The high mortality rate (normally 15 to 31% and up to 45% after caecal perforation) explains the seriousness of this clinical situation. The early diagnosis is made by plain abdominal X-ray. Conservative treatment is usually effective and surgery should be reserved for complicated cases or refractory to conservative treatment. We report a case of Ogilvie's syndrome after cesarean section, which has been treated by conservative methods.
奥吉尔维综合征是一种罕见的术后并发症。其高死亡率(通常为15%至31%,盲肠穿孔后可达45%)说明了这种临床情况的严重性。早期诊断通过腹部平片进行。保守治疗通常有效,手术应仅用于复杂病例或对保守治疗无效的情况。我们报告一例剖宫产术后发生奥吉尔维综合征的病例,该病例采用保守方法治疗。