PDF(Pubmed)
Abstract：
Ogilvie\'s syndrome is a colonic pseudo-obstruction that results in colonic dilation without a mechanical obstruction. We discuss a 33-year-old, 36-week pregnant, G1P0L0A0 female who presented with severe pre-eclampsia. Less than 24 hours after induction by vaginal delivery, she developed significant abdominal pain and distention. On a CT scan of the abdomen and pelvis, she was diagnosed with Ogilvie\'s syndrome due to a finding of large bowel dilation with an abrupt transition point at the splenic flexure without a noted mass. She was initially treated conservatively with nasogastric tube decompression and IV fluid resuscitation. When these conservative measures failed, neostigmine was administered with transient improvement in symptoms. Despite the appropriate administration of neostigmine and initial relief of symptoms with stool output, the patient ultimately required surgical intervention with the creation of a transverse loop colostomy. The development of Ogilvie\'s syndrome in the postpartum period is a very rare finding, particularly after a vaginal delivery.
摘要：
Ogilvie综合征是结肠假性梗阻，导致结肠扩张而没有机械性梗阻。我们讨论了一个33岁的人,怀孕36周,G1P0L0A0女性，表现为重度先兆子痫。阴道分娩诱导后不到24小时，她出现了严重的腹痛和腹胀。在腹部和骨盆的CT扫描中，她被诊断为Ogilvie综合征，原因是发现大肠扩张，脾曲有一个突然的过渡点，但没有明显的肿块。她最初接受了鼻胃管减压和静脉液体复苏的保守治疗。当这些保守措施失败时，给予新斯的明，症状短暂改善。尽管适当地施用了新斯的明并最初缓解了粪便排出的症状，患者最终需要进行手术干预，并进行横向环形结肠造口术。产后Ogilvie综合征的发展是一个非常罕见的发现，特别是在阴道分娩后。
