Ogilvie's syndrome in the postcesarean section patient

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Abstract

Two cases of colonic pseudo-obstruction (the so-called Ogilvie's syndrome) are reported. Both patients were in the immediate postcesarean section puerperium. The importance of early diagnosis in these cases is stressed, because this complication has a high mortality rate, frequently in relation to delayed diagnosis and treatment. One patient was successfully treated with conservative measures because diagnosis was made early. A plain X-ray abdominal film which shows cecum dilatation, with or without ascending and transverse colon dilatation, and no distal air, makes the diagnosis. A cecum diameter of 9 cm or more is a surgical indication, because the possibility of wall perforation is high. Surgical techniques are: puncture decompression or cecostomy. When cecum diameter is less than 9 cm, non-surgical measures (nasogastric suction, correction of any fluid and electrolytic imbalance, and maybe a flatus tube) are indicated. Observation through repeated X-ray abdominal films shows when the surgical indication appears: (1) failure of the conservative treatment (cecal distension continues or increases); or (2) cecal perforation is documented. © 1989.

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APA

Rodriguez-Ballesteros, R., Torres-Bautista, A., Torres-Valadez, F., & Ruiz-Moreno, J. A. (1989). Ogilvie’s syndrome in the postcesarean section patient. International Journal of Gynecology and Obstetrics, 28(2), 185–187. https://doi.org/10.1016/0020-7292(89)90481-5

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