Pseudo-obstruction of the colon following cesarean section

Abstract

Pseudo-obstruction of the colon is characterized by an adynamic unobstructed colon which rapidly progresses to marked dilatation of the cecum and transverse colon. Disagreements exist regarding the etiology or pathogenesis of this syndrome; it has been associated with metabolic, traumatic, postoperative, and idiopathic causes. In reviewing the literature we have concluded that in pseudo-obstruction of the colon after cesarean section, the mean age of occurrence is 35 years. The symptoms occur in the first 72 hours after operation. Straight x-ray examination of the abdomen is the most useful diagnostic measure. All cecal perforations occurred by the fifth postoperative day. For this reason, we recommend early diagnosis and prompt surgical intervention before that time. In cases when the cecal distention is 12 cm or more, decompression is urgent.

Acute colonic pseudo‐obstruction in pregnancy

“…While the incidence of ACPO is rare in young patients, in this age group, obstetric and gynaecological diagnoses or procedures are among the most common underlying conditions, with caesarean section being quoted as the most common predisposing surgical procedure in young women …”

Intestinal pseudo-obstruction—a review

“…Pregnancy slows intestinal transit and renders IMCs less frequent (Scott et al, 1983) and pseudo-obstruction is particularly frequent following Caesarian section (Ravo et al, 1983).…”

Colonic Pseudo-Obstruction

“…There is infrequent IMC and slow intestinal transit during pregnancy. There are reports of pseudo-obstruction following cesarean section [31] . Congenital hypoparathyroidism has been associated with pseudoobstruction [32] .…”