Bhakta Ankita, Li Tingmin, Bhagwanani Gauthami, Rao Tanushree
Obstetrics and Gynaecology, Liverpool Hospital, 75 Elizabeth Street Liverpool, NSW, 2170, Australia.
Case Rep Womens Health. 2022 Feb 3;34:e00392. doi: 10.1016/j.crwh.2022.e00392. eCollection 2022 Apr.
Ogilvie's syndrome, or acute colonic pseudo-obstruction, is a rare presentation occasionally observed postpartum, particularly following caesarean sections. Challenges in diagnosis often lead to delays in initiation of treatment, which significantly increases complications, including caecal ischaemia, perforation, sepsis and death. This case report describes the development of Ogilvie's syndrome within 24 h of an emergency caesarean section which was promptly recognised and confirmed by computed tomography, which demonstrated caecal dilatation of 9.7 cm without evidence of mechanical obstruction. An elevated level of C-reactive protein of 320 mg/L raised early clinical suspicion of caecal ischaemia, and this was managed endoscopically. Fortunately, the patient did not have any significant complications despite the high morbidity and mortality rate associated with Ogilvie's syndrome, highlighting the importance of clinician awareness and early initiation of management.
奥吉尔维综合征，即急性结肠假性梗阻，是一种产后偶尔可见的罕见病症，尤其是在剖宫产术后。诊断方面的挑战常常导致治疗开始延迟，这显著增加了并发症的发生几率，包括盲肠缺血、穿孔、败血症及死亡。本病例报告描述了在急诊剖宫产术后24小时内奥吉尔维综合征的发生情况，通过计算机断层扫描迅速得以识别和确诊，该扫描显示盲肠扩张至9.7厘米，无机械性梗阻迹象。C反应蛋白水平升高至320毫克/升，早期临床怀疑存在盲肠缺血，并通过内镜进行了处理。幸运的是，尽管奥吉尔维综合征的发病率和死亡率较高，但该患者并未出现任何严重并发症，这凸显了临床医生提高认识并尽早开始治疗的重要性。
