tailieunhanh - Báo cáo y học: " Ogilvie’s syndrome with caecal perforation after Caesarean section: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Ogilvie’s syndrome with caecal perforation after Caesarean section: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Ogilvie s syndrome with caecal perforation after Caesarean section a case report Arin K Saha Eleanor Newman Matthew Giles and Kieran Horgan Address Department of Surgery The General Infirmary at Leeds Leeds Teaching Hospitals NHS Trust Great George Street Leeds LS1 3EX UK E-mail AKS - arinsaha@ EN - newmaneleanor@ MG - gilesmatthew@ KH - Corresponding author Published 5 June 2009 Received 8 November 2008 Journal of Medical Case Reports 2009 3 6177 doi 1752-1947-3-6177 Accepted 13 February 2009 This article is available from http jmedicalcasereports article view 6177 2009 Saha et al licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Ogilvie s syndrome describes the phenomenon of an acute colonic pseudoobstruction without a mechanical cause. It is rare but has been reported to occur after Caesarean section. It can lead to bowel perforation or ischaemia. Case presentation A healthy 28-year-old Caucasian woman presented 2 weeks past her expected date of delivery for her first pregnancy. She underwent an uncomplicated elective Caesarean section but developed abdominal pain and bloating postoperatively and was subsequently diagnosed with acute colonic pseudo-obstruction also known as Ogilvie s syndrome. Conclusion This case report highlights the rare but potentially dangerous diagnosis of Ogilvie s syndrome after Caesarean section. It is of particular interest to obstetricians midwifery staff and general surgeons and shows the importance of accurate diagnosis regular abdominal reassessment and early senior input to ensure appropriate and rapid treatment. .

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