پس از سزارين )ogilvie گزارش يك مورد انسداد كاذب كولون (سندرم

A Case Report of Colonic Pseudo-Obstruction (Ogilvies Syndrome) After Cesarean Delivery

Introduction: Colonic pseudo-obstruction (ogilvies syndrome) is a rare post surgical complication that can be associated with cesarean delivery. Its pathophysiology remains poorly understood and patients are still treated inappropriately. This syndrome characterized by acute colonic dilatation without mechanical obstruction if undiagnosed and treated in appropriately, it may cause colonic perforation with mortality rate as high as 50 percent. we report a case after cesarean. Case report: A 30 years old woman, prime gravid, undergone elective cesarean section. On first day postoperative, she developed abdominal distention. She had intermittent flatus and stool. X ray showed some colonic dilatation. She was given bisacodyl suppository and had some improvement. On fifth day, she becomes ill with severe distention and pneumo-peritoneum on X-ray. At the operation that soon followed, small perforation was found in the cecum with generalized peritonitis. Tubocecostomy and irrigation was performed. Post operative she was well and discharged after 7 days. Conclusion: Surgeons should consider ogilvies syndrome in the patient whose abdomen becomes distended post operation. Delay in treatment cause ischemia, necrosis and perforation with high mortality. Early recognition and appropriate treatment decrease mortality and morbidity rate.