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Ogilvie's syndrome (OS), a massive dilation of the colon in the absence of mechanical obstruction, is a rare postsurgical complication. The high mortality rate (normally 15-31% and upto 45% after caecal perforation) explains the seriousness of this clinical situation. Early diagnosis is made by plain abdominal X-ray and CT abdomen. Conservative treatment is usually effective and surgery should be reserved for complicated cases or refractory to conservative treatment. We report a case of 25 years primigravida who developed OS, 24 hours after cesarean section, which was treated by conservative methods.

Citation

Zeba Munzar, Tahir Ahmad Munir, Munazza Asad. Ogilvie's syndrome (acute colonic pseudo-obstruction) after caesarean section. Journal of the College of Physicians and Surgeons--Pakistan : JCPSP. 2013 Apr;23(4):298-300

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PMID: 23552546

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