Ogilvie Syndrome with Caecal Perforation After Caesarean Section
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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 . 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.
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...
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The authors declare that there is no conflict of interest.
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.