PDF(Pubmed)
Abstract：
Ogilvie\'s syndrome, or acute colonic pseudo-obstruction, is a rare presentation occasionally observed postpartum, particularly following caesarean sections. Challenges in diagnosis often lead to delays in initiation of treatment, which significantly increases complications, including caecal ischaemia, perforation, sepsis and death. This case report describes the development of Ogilvie\'s syndrome within 24 h of an emergency caesarean section which was promptly recognised and confirmed by computed tomography, which demonstrated caecal dilatation of 9.7 cm without evidence of mechanical obstruction. An elevated level of C-reactive protein of 320 mg/L raised early clinical suspicion of caecal ischaemia, and this was managed endoscopically. Fortunately, the patient did not have any significant complications despite the high morbidity and mortality rate associated with Ogilvie\'s syndrome, highlighting the importance of clinician awareness and early initiation of management.
摘要：
奥格尔维综合征,或急性结肠假性梗阻,是产后偶尔观察到的罕见表现，尤其是剖腹产后。诊断方面的挑战往往导致治疗开始的延迟，这显著增加了并发症，包括盲肠缺血,穿孔,败血症和死亡。该病例报告描述了紧急剖腹产24小时内Ogilvie综合征的发展，并通过计算机断层扫描迅速识别和确认。显示盲肠扩张9.7厘米，没有机械阻塞的证据。320mg/L的C反应蛋白水平升高引起早期临床怀疑盲肠缺血，这是通过内窥镜管理的。幸运的是,尽管与Ogilvie综合征相关的高发病率和死亡率，但患者没有任何明显的并发症，强调临床医生意识和早期开始管理的重要性。
