Singh P, Ilancheran A, Ti T K, Ratnam S S
Department of Obstetrics and Gynaecology, National University of Singapore, National University Hospital.
Gynecol Oncol. 1989 Mar;32(3):390-3. doi: 10.1016/0090-8258(89)90648-3.
Ogilvie's syndrome of colonic pseudo-obstruction has been reported in a wide variety of systemic disorders including blunt and surgical trauma but apparently not as a complication of radical hysterectomy with pelvic and paraaortic lymphadenectomy. Its occurrence following extensive paraaortic dissection in this case but no report so far of its occurrence after routine radical hysterectomy supports the most commonly proposed etiology of disturbed splanchnic nerve supply to the colon as a cause. Colonic pseudo-obstruction following radical hysterectomy with pelvic and paraaortic lymphadenectomy is reported and the etiology, diagnosis, and management are discussed to highlight the condition so that possible associated morbidity/mortality may be avoided.
结肠假性梗阻的奥吉尔维综合征已在多种全身性疾病中被报道，包括钝性和手术创伤，但显然不是盆腔和腹主动脉旁淋巴结清扫的根治性子宫切除术后的并发症。在该病例中，广泛的腹主动脉旁剥离术后出现了这种情况，但目前尚无常规根治性子宫切除术后发生该情况的报道，这支持了最常提出的病因，即结肠内脏神经供应紊乱是其病因。本文报道了盆腔和腹主动脉旁淋巴结清扫的根治性子宫切除术后发生的结肠假性梗阻，并讨论了其病因、诊断和治疗，以突出这种情况，从而避免可能的相关发病率/死亡率。
