title: Ogilvie's syndrome (acute colonic pseudo-obstruction) after caesarean section.
abstract: Ogilvie's syndrome (OS), a massive dilation of the colon in the absence of mechanical obstruction, is a rare postsurgical complication. The high mortality rate (normally 15-31% and upto 45% after caecal perforation) explains the seriousness of this clinical situation. Early diagnosis is made by plain abdominal X-ray and CT abdomen. Conservative treatment is usually effective and surgery should be reserved for complicated cases or refractory to conservative treatment. We report a case of 25 years primigravida who developed OS, 24 hours after cesarean section, which was treated by conservative methods.
authors.affiliation: Department of Obstetrics and Gynaecology, Al-Nafees Medical College, Al Maroof International Hospital, Islamabad. zebamunzar@hotmail.com
authors.forename: Zeba
authors.initials: Z
authors.lastname: Munzar
authors.forename: Tahir Ahmad
authors.initials: TA
authors.lastname: Munir
authors.forename: Munazza
authors.initials: M
authors.lastname: Asad
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D003112:Colonic Pseudo-Obstruction / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D005260:Female; D006801:Humans; D011183:Postoperative Complications / Q000175:diagnosis* / Q000628:therapy; D011247:Pregnancy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome