Sunda Urmila, Makwana Renu, Shaily Vinod, Bhosle Savi, Choudhary Sushil
Department of Obstetrics and Gynecology, AIIMS Rajkot, Gujarat, India.
Department of Obstetrics and Gynecology, Vasundhara Hospital, Jodhpur, Rajasthan, India.
J Family Med Prim Care. 2024 Nov;13(11):5378-5380. doi: 10.4103/jfmpc.jfmpc_577_24. Epub 2024 Nov 18.
Ogilvie syndrome, also known as acute colonic pseudo-obstruction, is a form of colonic dilation occurring without underlying mechanical or anatomic etiology. It is a disorder of imbalance in motor innervation of the large intestine, which causes acute colon obstruction in the absence of any physical obstruction. It is associated with high morbidity and mortality due to diagnostic dilemmas and the need for surgical intervention. In gynecological practice, it rarely occurs after a cesarean section. Here, we present a case of Ogilvie syndrome after a cesarean section. The patient developed colonic pseudo-obstruction on the first postoperative day. The patient was managed conservatively using a flatus tube and improved. Ogilvie syndrome should be suspected in a patient with abdominal distension in the postoperative period after ruling out common conditions. Early suspicion and immediate decompression using a flatus tube can improve the outcome of the patient.
奥吉尔维综合征，又称急性结肠假性梗阻，是一种在无潜在机械性或解剖学病因情况下发生的结肠扩张形式。它是一种大肠运动神经支配失衡的疾病，在没有任何物理性梗阻的情况下导致急性结肠梗阻。由于诊断难题和手术干预的必要性，它与高发病率和死亡率相关。在妇科实践中，剖宫产术后很少发生。在此，我们报告一例剖宫产术后发生奥吉尔维综合征的病例。患者术后第一天出现结肠假性梗阻。通过使用肛管进行保守治疗，患者病情好转。在排除常见情况后，对于术后出现腹胀的患者应怀疑奥吉尔维综合征。早期怀疑并立即使用肛管进行减压可改善患者的预后。
