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Ogilvie's syndrome
Author(s) -
Hamed A.D.,
Dare F.O.
Publication year - 1992
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(92)90977-q
Subject(s) - medicine , cecum , perforation , conservative management , surgery , colonic pseudo obstruction , hysterectomy , conservative treatment , general surgery , materials science , punching , metallurgy
Four cases of Ogilvie's syndrome (acute colonic pseudo‐obstruction) are reported. All occurred in the early puerperium following cesarean section and cesarean hysterectomy. In three of the patients, the diameter of the distended cecum was less than 9.0 cm and so management was conservative while in the fourth patient it was more than 9.0 cm, and so surgical intervention was carried out. A cecal diameter of 9.0 cm or above is an indication for surgical intervention to prevent possible colonic perforation. Other indications for surgery include established cecal perforation and failed conservative management. It is important that an early diagnosis is made and management instituted in order to prevent complications and associated high mortality.