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A Case of Acute Colonic Pseudoobstruction in Pregnancy
Author(s) -
Rieger Nicholas A.,
Lyon William J.,
Bryce Robert L.,
Birrell Stephen N.
Publication year - 1996
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1996.tb02731.x
Subject(s) - medicine , transverse colon , perforation , colonoscopy , caesarean section , pregnancy , colonic pseudo obstruction , caecum , gastroenterology , surgery , colorectal cancer , biology , materials science , genetics , cancer , punching , metallurgy
EDITORIAL COMMENT: We accepted this case for publication because it shows that acute colonic pseudoobstruction can occur during pregnancy and may be successfully managed by colonoscopy as in this patient. For readers' interest we direct them to 2 previous case reports on Ogilvie syndrome which occurred post‐Caesarean section and which were complicated by spontaneous perforation of the colon: Atypical Ogilvie syndrome. Paraskevaides EC. Aust NZ J Obstet Gynaecol 1988; 28: 148–149; Ogilvie syndrome with caecal perforation in the post‐Caesarean patient. Tang PTM, Collopy BT, Somerville M. Aust NZJ Obstet Gynaecol 1995; 35: 104–106. These papers indicate that perforation is likely to occur if the caecum is dilated to a diameter between 9–12 cm; the dilatation of the transverse colon to 18 cm in the present case is remarkable.