Abstract

Bassir A., Ouchraa J.*, E. L. Idrissi S., Fakhir B. and Soummani A.

ABSTRACT

Ogilvie’s syndrome or Acute colonic pseudo-obstruction is a rare condition characterized by symptoms of a large bowel obstruction in the absence of a mechanical cause. The physiopathology of Ogilvie’s syndrome remains unknown. It was associated with some particular conditions including recent surgery especially Caesarean section, infection, or an underlying illness. The diagnostic is confirmed with the combinaison of low intestinal obstruction symptoms , associated with a large caecum without pathological lesion showed by Xray. The diagnosis should be fast to avoid caecal perforation that occurs in 25 to 40 percent of the cases and could be responsible of a significant mortality rate. The treatment is essentielly conservative, but surgical management is necessary in case of a complication. The objective of our study is to identify clinical and radiological signs of the post-caesarean Ogilvie’s syndrome in order to establish the appropriate treatment with no delay. We report a case of Ogilvie’s syndrome after cesarean section, which has been treated by surgery.