Ogilvie's syndrome of colonic pseudo-obstruction: a complication of radical hysterectomy with pelvic and paraaortic lymphadenectomy.
Ogilvie's syndrome of colonic pseudo-obstruction has been reported in a wide variety of systemic disorders including blunt and surgical trauma but apparently not as a complication of radical hysterectomy with pelvic and paraaortic lymphadenectomy. Its occurrence following extensive paraaortic dissection in this case but no report so far of its occurrence after routine radical hysterectomy supports the most commonly proposed etiology of disturbed splanchnic nerve supply to the colon as a cause. Colonic pseudo-obstruction following radical hysterectomy with pelvic and paraaortic lymphadenectomy is reported and the etiology, diagnosis, and management are discussed to highlight the condition so that possible associated morbidity/mortality may be avoided.
Singh
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P
Department of Obstetrics and Gynaecology, National University of Singapore, National University Hospital.
Ilancheran
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Ratnam
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D001011:Aorta; D003112:Colonic Pseudo-Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007418:Intestinal Pseudo-Obstruction / Q000209:etiology*; D008197:Lymph Node Excision; D008875:Middle Aged; D010388:Pelvis; D011183:Postoperative Complications; D011859:Radiography; D002583:Uterine Cervical Neoplasms / Q000601:surgery