Bolle buik na sectio caesarea

Het Ogilvie-syndroom
Casuïstiek
20-02-2019
Mytra Zareian, Boudewijn R. Toorenvliet en Jeroen Kaijser

Acute colonic pseudo-obstruction after caesarean section; Ogilvie’s syndrome

Background

Acute pseudo-obstruction of the colon – also known as Ogilvie’s syndrome – is a rare clinical presentation in obstetrics. The syndrome is seen more often following caesarean section than vaginal delivery.

Case description

We present a 38-year-old primigravida who developed Ogilvie’s syndrome following secondary caesarean section. Despite conservative management, due to a caecal dilation of over 12 centimetres and impending perforation of the caecum, a hemicolectomy was necessary.

Conclusion

Ogilvie’s syndrome is potentially life-threatening, certainly if perforation of the bowel occurs. Prompt diagnosis and treatment are essential to prevent severe morbidity.

Conflict of interest and financial support: none declared.