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ACUTE COLONIC PSEUDO-OBSTRUCTION (OGILVIE’S SYNDROME) - A RARE COMPLICATION IN TOTAL ABDOMINAL HYSTERECTOMY AND BILATERAL SALPINGO-OOPHORECTOMY (TAHBSO) WITH SIGMOIDECTOMY

Author Names : Sarmukh S
Page No. : 24-26
Read Hit : 488
Pdf Downloads Hit : 6  Volume 4 Issue 2
Article Overview

ARTICLE DESCRIPTION: 

Sarmukh S., M.O. Myint, Salleh M., Shaker A.H., Acute colonic pseudo-obstruction (Ogilvie’s syndrome) - a rare complication in total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAHBSO) with sigmoidectomy, Journal of Medical & Health Sciences Research (ASIO-JMHSR), 2020, 4(2): 24-26.

1 Department of Surgery, Hospital Serdang, Selangor, Malaysia

2,3,4 Department of Surgery, University Putra Malaysia, Selangor, Malaysia

doi: 10.2016-74831794;

DOI Link :: http://doi-ds.org/doilink/11.2020-34989559/


ABSTRACT:

Acute colonic pseudo-obstruction (Ogilvie’s Syndrome) was first described by Ogilvie in 1948. It is characterized by colonic dilatation in the absence of mechanical obstruction or any obvious causes of paralytic ileus.The condition can occur in patients with various metabolic, surgical, and medical problems. It can also be idiopathic in a small percentage of patients. A 48 year old Malay lady newly diagnosed with ovarian carcinoma underwent with total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAHBSO) with sigmoidectomy. Post operatively noted the abdominal drain was 600cc (serous). We proceeded with a CT abdomen and showed a dilated large bowel with distal tapering with narrowing at anastomotic site at the rectum. Our impression was mechanical obstruction. We proceeded with colonoscopy to decompress the bowel and to re-look at the anastomosis site. Our diagnosis was pseudo-obstruction of colon (functional obstruction / Ileus) as there were no evidence of mechanical obstruction and the whole colon was found dilated. We believe that Ogilvie’s Syndrome, though is an uncommon condition. The dilemma in diagnosis to consider when investigating patients who have recently undergone TAHBSO with sigmoidectomy. We advocate that colonoscopy at the earliest possible time can be of both diagnostic and therapeutic value.

Keywords: Ogilvie’s Syndrome, colonoscopy, endoscopic decompression, total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAHBSO).

Reference
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