Ogilvie’s syndrome as a rare surgical complication after cesarean section

Kabatin N.A., Kalinin V.V., Shcherina A.V., Polonetsky A.Ya., Smirnov A.V.

1) Bor Central District Hospital, Perinatal Center, Bor, Russia; 2) Volga Research Medical University, Ministry of Health of Russia, Nizhny Novgorod, Russia
Background. Ogilvie’s syndrome (OS) is an acute pseudoobstruction of the colon, which is referred to as its pathological distension without mechanical obstruction. In the world, there is a lack of awareness about OS in the clinical practice of obstetricians/gynecologists, especially in the postoperative period of cesarean section.
Case report. On postoperative day 3 after emergency caesarean section that was uncomplicated, the patient showed a sharp deterioration in her condition, namely, the clinical manifestations of enteroparesis. Taking into account her complaints and the data of an objective instrumental study, relaparotomy was performed to identify the site of necrosis and perforation of the intestine, and generalized purulent peritonitis.
Conclusion. Ogilvie’s syndrome is a rare disease that is of interest to obstetricians/gynecologists and general surgeons, as its early diagnosis and rapid treatment are key factors in avoiding fatal complications.


Ogilvie’s syndrome
acute colonic pseudo-obstruction
cesarean section


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Received 05.11.2020

Accepted 01.02.2021

About the Authors

Nikolay A. Kabatin, PhD, obstetrician-gynecologist of the Obstetrical Department of Perinatal Center, Borsky Central Regional Hospital. Tel.: +7(915)939-22-65.
E-mail: onlybones@yandex.ru. ORCID: 0000-0003-4759-9420. 606440, Russia, Bor, Babushkina str., 8.
Vitalii V. Kalinin, PhD, the Head of Obstetrical Department of Perinatal Center, Borsky Central Regional Hospital. Tel.: +7(904)784-19-00. E-mail: vikalinin77@mail.ru. ORCID: 0000-0002-3481-0138. 606440, Russia, Bor, Babushkina str., 8.
Anna V. Shcherina, student of 6th course of Medical Faculty, Privolzhsky Research Medical University, Ministry of Health of the Russian Federation. Tel.: +7(831)439-09-43. E-mail: ashcherina@yandex.ru. ORCID: 0000-0002-2356-586X.
603005, Russia, Nizhny Novgorod, Minin and Pozharsky sq., 10/1.
Andrey Ya. Polonetsky, Chief Doctor Deputy in Surgery and Ambulance, Borsky Central Regional Hospital. Tel.: +7(905)668-76-39. E-mail: mail@crb-bor.ru.
606440, Russia, Bor, Babushkina str., 8.
Alexandr V. Smirnov, PhD, MD, Chief Doctor, Borsky Central Regional Hospital. Tel.: +7(831)592-72-67. E-mail: mail@crb-bor.ru.
606440, Russia, Bor, Babushkina str., 8.

For citation: Kabatin N.A., Kalinin V.V., Shcherina A.V., Polonetsky A.Ya., Smirnov A.V. Ogilvie’s syndrome as a rare surgical complication after cesarean section.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2021; 5: 199-203 (in Russian)

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