Acute pseudo-obstruction of the colon (Ogilvie's syndrome) following caesarean section under epidural anaesthesia.
Acute pseudo-obstruction of the colon usually occurs in association with a systemic illness, e.g. myocardial infarction, pneumonia, sepsis, or complicates a major operation or trauma. The aetiology is unclear and appears to be multifactorial. Hypotheses have included both surgery-related dysfunction of the sacral parasympathetic nerves, and an imbalance of the inhibitory sympathetic and excitatory parasympathetic colonic innervations. We report a case of this condition and discuss the clinical approach to its treatment.
Wignakumar
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Department of Surgery, Mayday University Hospital, Croydon, Surrey, UK.
Eriksen
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CA
Ebbs
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SR
D000328:Adult; D000767:Anesthesia, Epidural; D002585:Cesarean Section / Q000009:adverse effects*; D003112:Colonic Pseudo-Obstruction / Q000209:etiology*; D005260:Female; D006801:Humans; D011247:Pregnancy