title: [Acute colonic pseudo-obstruction (Ogilvie's syndrome) - a rare complication after ablation mammae and direct reconstruction with a free TRAM flap].
abstract: We report a case of a 62 year old woman who presented with Ogilvie's syndrome as a complication of mastectomy with free TRAM flap reconstruction due to angiosarcoma of the right breast. In the acute postoperative period, the patient expired as a result of Ogilvie's syndrome related complications. Several assumptions regarding the causes of Ogilvie's Syndrome as well as current theories about aetiology, diagnosis and therapy are discussed in this case presentation.
authors.affiliation: Chirurgie, Kreisspital für das Freiamt Muri, Muri, Switzerland.
authors.forename: T
authors.initials: T
authors.lastname: Rauer
authors.affiliation: Klinik für Hand und Plastische Chirurgie, Kantonsspital Winterthur, Winterthur, Switzerland.
authors.forename: J
authors.initials: J
authors.lastname: Sproedt
authors.affiliation: Klinik für Viszeral- und Thoraxchirurgie, Kantonsspital Winterthur, Winterthur, Switzerland.
authors.forename: H
authors.initials: H
authors.lastname: Gelpke
authors.affiliation: Klinik für Viszeral- und Thoraxchirurgie, Kantonsspital Winterthur, Winterthur, Switzerland.
authors.forename: A R
authors.initials: AR
authors.lastname: Jandali
mesh_terms: D001943:Breast Neoplasms / Q000601:surgery*; D002432:Cecum / Q000098:blood supply / Q000473:pathology; D003106:Colon / Q000098:blood supply / Q000473:pathology; D003112:Colonic Pseudo-Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D017809:Fatal Outcome; D005260:Female; D058752:Free Tissue Flaps / Q000009:adverse effects* / Q000601:surgery*; D006394:Hemangiosarcoma / Q000601:surgery*; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D008197:Lymph Node Excision; D016462:Mammaplasty / Q000009:adverse effects*; D015409:Mastectomy, Radical / Q000009:adverse effects*; D018447:Medical Futility; D008875:Middle Aged; D064827:Myocutaneous Flap / Q000009:adverse effects* / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D012086:Reoperation