Acute pseudo-obstruction of the colon (Ogilvie's syndrome) resulting from combination tocolytic therapy.
We describe a case of colonic pseudo-obstruction occurring in a pregnant patient whose preterm labor was being treated with intravenous magnesium and nifedipine. Sequential colonoscopies were required to manage the recurrent colonic dilations prior to delivery of healthy twins. There was no recurrence after delivery and discontinuation of the tocolytics.
Pecha
R E
RE
Division of Gastroenterology, Northern California Kaiser Permanente, Sacramento 95825, USA.
Danilewitz
M D
MD
D000208:Acute Disease; D000328:Adult; D003112:Colonic Pseudo-Obstruction / Q000139:chemically induced*; D005260:Female; D006801:Humans; D008274:Magnesium / Q000008:administration & dosage / Q000009:adverse effects; D009543:Nifedipine / Q000008:administration & dosage / Q000009:adverse effects; D011247:Pregnancy; D011272:Pregnancy, Multiple; D015145:Tocolysis / Q000009:adverse effects*; D015149:Tocolytic Agents / Q000008:administration & dosage / Q000009:adverse effects; D014427:Twins
D015149:Tocolytic Agents; D008274:Magnesium; D009543:Nifedipine