Ogilvie's syndrome.
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.
Department of Radiology, Obafemi Awolowo University, Ile-Ife, Nigeria.
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Hamed
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Dare
D000328:Adult; D001466:Barium Sulfate; D002431:Cecostomy; D002585:Cesarean Section / Q000009:adverse effects*; D003112:Colonic Pseudo-Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D004733:Enema; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D007441:Intubation, Gastrointestinal; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D011644:Puerperal Disorders / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D011859:Radiography; D013396:Suction
D001466:Barium Sulfate