Acute colonic pseudoobstruction complicating twin pregnancy: a case report.
BACKGROUND
Acute colonic pseudoobstruction, or Ogilvie's syndrome, is a rare but serious medical and obstetric complication. When diagnosed early, treatment with expectant management or more invasive decompression is often successful. However, if not recognized promptly or managed appropriately, this condition can be fatal.


METHODS
We present an unusual case of acute colonic pseudoobstruction occurring after management of preterm labor in a monochorionic-diamniotic twin pregnancy at 29 weeks' gestation complicated with twin-twin transfusion syndrome.


CONCLUSIONS
Acute colonic pseudoobstruction should be considered in the differential diagnosis in pregnant women who present with abdominal distention and vomiting.
Tung
Celestine S
CS
Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas, USA. ctung@mdanderson.org
Zighelboim
Israel
I
Gardner
Michael O
MO
D000208:Acute Disease; D000328:Adult; D002585:Cesarean Section; D003112:Colonic Pseudo-Obstruction / Q000209:etiology* / Q000601:surgery*; D005260:Female; D005330:Fetofetal Transfusion; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications; D011256:Pregnancy Outcome; D011272:Pregnancy, Multiple; D014427:Twins