Spontaneous Caecal Perforation Associated with Ogilvie’s Syndrome Following Vaginal Delivery – A Case Report

S, Vk; Sk, Kola; Dk, Kg

doi:10.7860/jcdr/2014/9078.4484

Cited by 4 publications

(1 citation statement)

References 5 publications

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“…Specifically related to postpartum is Ogilvie's syndrome, which is denervation of parasympathetic nerves causing atonic distal colon and pseudo-colonic obstructions. This usually occurs after Cesarean section [ 5 ], trauma, pelvic surgery, sepsis [ 6 ], and a few cases of vaginal delivery [ 7 ]. Idiopathic intussusception has also been reported during the postpartum period following vaginal delivery [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Small Bowel Obstruction in Postpartum Vaginal Delivery due to Prior Abdominal Adhesions Case Report

Yang

Kao

2023

Case Reports in Obstetrics and Gynecology

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Intestinal obstruction rarely occurs after uncomplicated vaginal deliveries. Here, we present a case of a multiparous woman with a history of prior appendectomy presenting with generalized, nonspecific abdominal pain that was out of proportion to exam findings. Initial abdominal X-ray was nonspecific, and subsequent computed tomography (CT) abdomen showed closed small bowel obstruction requiring surgical repair. We present a case of intestinal obstruction occurring within 24 hours of uncomplicated vaginal delivery with a risk factor of a prior appendectomy surgery and the use of CT abdomen and pelvis to expedite diagnose.

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Section: Introductionmentioning

confidence: 99%

Small Bowel Obstruction in Postpartum Vaginal Delivery due to Prior Abdominal Adhesions Case Report

Yang

Kao

2023

Case Reports in Obstetrics and Gynecology

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Acute colonic pseudoobstruction (Ogilvie’s syndrome) in gynecologic and obstetric patients: case report and systematic review of the literature

Tempfer

Doğan

Hilal

et al. 2019

Arch Gynecol Obstet

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Postpartum acute abdomen and its diagnostic challenges

Sheppeard

Wilson

2015

BMJ Case Reports

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This is the case of a 25-year-old primigravida with gradual onset abdominal pain and vomiting, 1 day postvaginal delivery. After three hospital admissions over the following 3 weeks, a diagnosis of small bowel obstruction secondary to adhesions was made; the patient had undergone a previous appendicectomy. The patient was taken to theatre for laparotomy and adhesiolysis, where the bowel was found to be viable but with two small serosal tears. Postoperative recovery was uncomplicated. This case highlights the importance of assessing abdominal pain in the puerperium in a similar manner to that done in a non-pregnant state, to avoid delay in diagnosis.

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Spontaneous Caecal Perforation Associated with Ogilvie’s Syndrome Following Vaginal Delivery – A Case Report

Cited by 4 publications

References 5 publications

Small Bowel Obstruction in Postpartum Vaginal Delivery due to Prior Abdominal Adhesions Case Report

Small Bowel Obstruction in Postpartum Vaginal Delivery due to Prior Abdominal Adhesions Case Report

Acute colonic pseudoobstruction (Ogilvie’s syndrome) in gynecologic and obstetric patients: case report and systematic review of the literature

Postpartum acute abdomen and its diagnostic challenges

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