title: Acute Colonic Pseudo-Obstruction (Ogilvie's Syndrome) Following Total Laparoscopic Hysterectomy.
abstract: Rapid identification of acute colonic pseudo-obstruction (ACPO), or Ogilvie's syndrome, is paramount in the management of this condition, which, if unresolved, can progress to bowel ischemia and perforation with significant morbidity and mortality. We present the first case report, to our knowledge, of ACPO following total laparoscopic hysterectomy. We describe the presentation and management of ACPO in a patient who underwent uncomplicated total laparoscopic hysterectomy to treat menorrhagia and dysmenorrhea after declining conservative treatment. Following initial conservative management, the patient rapidly deteriorated and required laparotomy for clinically suspected cecal ischemia. Cecal resection, colonic decompression, and end ileostomy formation were performed. A brief review of the current literature is presented with respect to the case report.
authors.affiliation: Department of Obstetrics and Gynecology, The Royal Women's Hospital, Victoria, Australia. Electronic address: Monique.Cebola@thewomens.org.au.
authors.forename: Monique
authors.initials: M
authors.lastname: Cebola
authors.affiliation: Department of Obstetrics and Gynecology, The Royal Women's Hospital, Victoria, Australia.
authors.forename: Eliza
authors.initials: E
authors.lastname: Eddy
authors.affiliation: Department of Obstetrics and Gynecology, The Royal Women's Hospital, Victoria, Australia.
authors.forename: Suzanne
authors.initials: S
authors.lastname: Davis
authors.affiliation: Department of General Surgery and Breast Services, The Royal Women's Hospital, Victoria, Australia.
authors.forename: Laura
authors.initials: L
authors.lastname: Chin-Lenn
mesh_terms: D000328:Adult; D003082:Colectomy / Q000379:methods*; D003112:Colonic Pseudo-Obstruction / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D007081:Ileostomy / Q000379:methods*; D007813:Laparotomy; D017410:Practice Guidelines as Topic; D016896:Treatment Outcome
keywords: Acute colonic pseudo-obstruction; Hysterectomy; Laparoscopy; Ogilvie's syndrome