Ogilvie's syndrome with caecal perforation after Caesarean section: a case report.
BACKGROUND
Ogilvie's syndrome describes the phenomenon of an acute colonic pseudo-obstruction without a mechanical cause. It is rare but has been reported to occur after Caesarean section. It can lead to bowel perforation or ischaemia.


METHODS
A healthy, 28-year-old Caucasian woman presented 2 weeks past her expected date of delivery for her first pregnancy. She underwent an uncomplicated elective Caesarean section but developed abdominal pain and bloating postoperatively and was subsequently diagnosed with acute colonic pseudo-obstruction, also known as Ogilvie's syndrome.


CONCLUSIONS
This case report highlights the rare, but potentially dangerous, diagnosis of Ogilvie's syndrome after Caesarean section. It is of particular interest to obstetricians, midwifery staff and general surgeons and shows the importance of accurate diagnosis, regular abdominal reassessment and early senior input to ensure appropriate and rapid treatment.
Saha
Arin K
AK
Department of Surgery, The General Infirmary at Leeds, Leeds Teaching Hospitals NHS Trust Great George Street, Leeds, LS1 3EX UK.
Newman
Eleanor
E
Giles
Matthew
M
Horgan
Kieran
K