Ogilvie Syndrome with Cecal Perforation after Caesarean Section

Abstract

ABSTRACT

Ogilvie syndrome (OS) or acute colonic pseudo-obstruction (ACPO) is a condition characterized by clinical and radiological features of colonic obstruction in the absence of any mechanical cause. Colonic pseudo-obstruction after a C-section is uncommon and perforation of cecum in such a case is rare. We present a case of a patient presenting with abdominal pain and distension after Caesarean section with the operative findings of perforation of cecum. Patient was managed with an open cecostomy that required an open closure after three months. Open cecostomy is an option when the defect in cecum is large after excision of its gangrenous part.