Asif Ali Syed, Anum Naz, Nabiha Amjad, Ambreen Bhutto.
Ogilvie`s Syndrome: a case report.
Pak J Surg Jan ;34(3):259-61.

Ogilvie`s syndrome or Acute Colonic Pseudo-Obstruction (ACPO) is a rare, post-surgical complication characterized by progressive dilatation of the cecum and right hemicolon in absence of any mechanical obstruction. The hallmark clinical presentation is abdominal distention with or without pain. Etiology is attributed to underlying medical illness, electrolyte imbalance or recent surgical procedure. Here, we present a case of 32 year old female who was admitted in our hospital which full term pregnancy. She was delivered at our hospital by caesarean section under spinal anesthesia. She did well in the first 24 hours. Then she developed abdominal pain and abdominal distension and vomiting. Abdominal decompression was done using nasogastric tube and the patient was kept nil orally. Her adbominal x-ray suggestive of distended large bowel. There is no improvement on conservative management. Therefore she underwent laparotomy and right hemicoloectomy done. Patient has uneventful recovery.

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