Ogilvie syndrome following Caesarean section: a case report Abstract

Linus Lin Tai LEE, Dorothy Yuet Tao NG
Department of Obstetrics and Gynaecology, Pamela Youde Nethersole Eastern Hospital, Hong Kong

A 31-year-old woman with a previous Caesarean section developed distended abdomen 1 day after a repeat Caesarean section. Radiological images showed dilated large bowel with suspicious transition point posterior to the uterus, but without mechanical cause for the obstruction. Colonoscopy showed no stricture or tumour or extrinsic compression, and a diagnosis of acute colonic pseudo obstruction (Ogilvie syndrome) was made. Endoscopic decompression using a flatus tube was successful.