The Journal of Obstetrics and Gynecology of India

, Volume 68, Issue 6, pp 498–501 | Cite as

Ogilvie Syndrome with Caecal Perforation After Caesarean Section

  • K. GeethadeviEmail author
  • D. Gowthami
  • U. Chakrapani
  • R. S. Ramadevi
Case Report


Ogilvie syndrome (acute colonic pseudo-obstruction) which usually occurs in seriously ill and post-operative patients can rarely occur after caesarean section. It is characterized by massive dilatation of the colon in the absence of mechanical obstruction. This may lead to rupture or perforation of the caecum or colon causing faecal peritonitis and sepsis which carries a very high morbidity and mortality rate [1]. We present a case of Ogilvie syndrome with caecal perforation following caesarean section which was managed successfully in our institute. This is the first ever case report from India.

Case Report

A thirty-three-year-old G3P2L2 with two previous caesarean sections was admitted for elective LSCS which was performed on 12/06/2017 under spinal anaesthesia with 0.5% heavy bupivacaine 1.8 ml. Pfannenstiel’s incision was made. She delivered a girl child with good APGAR with birth weight 3.1 kg. There were no adhesions. Surgical procedure was uneventful. Ten units of...


Compliance with Ethical Standards

Conflict of interest

The authors declare that there is no conflict of interest.

Informed Consent

We have taken informed consent of patient for taking photographs and publishing the case in journal. We have maintained the respect and confidentiality of our case. We have not caused any harm to the patient. Our case report is independent and impartial.


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Copyright information

© Federation of Obstetric & Gynecological Societies of India 2018

Authors and Affiliations

  • K. Geethadevi
    • 1
    Email author
  • D. Gowthami
    • 1
  • U. Chakrapani
    • 1
  • R. S. Ramadevi
    • 1
  1. 1.Aayush HospitalsVijayawadaIndia

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