Gétin Y, Bucas J P, Rivière J, Alphandari G
Rev Fr Gynecol Obstet. 1984 Jul-Sep;79(7-9):525-30.
The authors report a case of post-caesarian acute idiopathic dilatation of the colon (Ogilvie's syndrome), which is a rare syndrome, particularly after caesarian section, which poses difficult diagnostic problems. The most serious complication consists of perforation of the caecum. The pathogenesis of this syndrome is still hypothetical. Early treatment essentially consists of inserting a Faucher tube via colonoscopy beyond the splenic flexure. In the case of a pre-perforation syndrome, a right transverse colostomy needs to be performed. Actual perforation of the caecum requires a major operation with a poor prognosis.
作者报告了一例剖宫产术后急性特发性结肠扩张（奥吉尔维综合征）的病例，这是一种罕见的综合征，尤其是在剖宫产后出现，会带来诊断难题。最严重的并发症是盲肠穿孔。该综合征的发病机制仍属推测。早期治疗主要包括通过结肠镜将福歇氏管插入至脾曲以远。对于穿孔前综合征的情况，需要进行右半横结肠造口术。盲肠实际穿孔则需要进行大手术，预后较差。
