Ogilvie Syndrome Complicated By Caecal Perforation In A Post-Caesarean Section Patient: A Case Report

Abstract

Ogilvie syndrome or acute colonic pseudo-obstruction is a condition characterised by progressive dilatation of the proximal colon with no evidence of mechanical obstruction. It is associated with various medical and surgical conditions. In 50-60% of cases the preceding cause is trauma or surgical procedure, most commonly caesarean section. However there is little known about it in obstetric practice and it presents a diagnostic and therapeutic challenge. We report a case of Ogilvie syndrome following an emergency caesarean section, which resulted in caecal perforation on the fourth post-operative day.