The rare Ogilvie's Syndrome in pregnancy. How to manage? A case report and literature review.

Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology
Vittorio BresadolaLorenza Driul

Abstract

Acute colonic pseudo-obstruction, or Ogilvie's syndrome (OS), is a complication in gynaecology and obstetrics. Its occurrence during pregnancy is rare, redefining the therapeutic decision-making and treatment options. In this review we describe the case of a 37-year-old pregnant patient who developed OS at the 30th week of gestation. A laparotomy with colonic decompression was performed. Foetal condition, regularly monitored throughout the hospital stay, remained normal. The patient experienced an uncomplicated, natural delivery at 40 weeks. A comprehensive literature search, describing the occurrence of OS during pregnancy, was conducted. We identified six cases of OS arising during pregnancy. Demographic, clinical, diagnostic and therapeutic features were analysed. Non-surgical management is generally the first-line option, with intravenous drug administration, rectal and nasogastric tube positioning and colonoscopic decompression the treatments of choice. Surgical decompression in usually performed in cases of failure of the first-line treatments. Including our own experience, in all cases, neither maternal nor foetal mortality was reported. A conservative approach is mandatory as first-line treatment, but when prompt resolu...Continue Reading

References

Nov 1, 1988·Digestive Diseases and Sciences·A F SloyerR C Kurtz
Mar 1, 1986·Diseases of the Colon and Rectum·V W Vanek, M Al-Salti
Jun 1, 1985·Journal of Clinical Gastroenterology·D P RomeoA R Hover
Dec 1, 1974·The British Journal of Surgery·D Bardsley
Jul 1, 1983·Diseases of the Colon and Rectum·B RavoR Ger
Jan 1, 1993·Diseases of the Colon and Rectum·Q Y Duh, L W Way
Aug 1, 1996·Gastrointestinal Endoscopy·A GellerC J Gostout
Aug 1, 1996·The Australian & New Zealand Journal of Obstetrics & Gynaecology·N A RiegerS N Birrell
Oct 31, 1998·Journal of Hypertension·J P GreenwoodD A Mary
Jul 15, 1999·The New England Journal of Medicine·R J PonecM B Kimmey
Nov 30, 1999·The New England Journal of Medicine·D Nicholson
Dec 21, 2002·The American Journal of Gastroenterology·Conor G LoftusTodd H Baron
Dec 31, 2003·Gastroenterology Clinics of North America·Charles J Kahi, Douglas K Rex
Oct 1, 1994·International Journal of Obstetric Anesthesia·M A Dickson, J H McClure
Mar 23, 2007·Journal of Perinatology : Official Journal of the California Perinatal Association·M E RauschT Rosen
Nov 17, 2007·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S E JacobJ Hill
Apr 5, 2008·The Medical Clinics of North America·Mihaela Batke, Mitchell S Cappell
Aug 2, 2008·Obstetrics and Gynecology·Morie M ChenRussell K Laros
Feb 19, 2009·The British Journal of Surgery·R De Giorgio, C H Knowles
Jun 17, 2009·Seminars in Reproductive Medicine·Qi Fu, Benjamin D Levine
May 1, 2005·Clinics in Colon and Rectal Surgery·Nell Maloney, H David Vargas
Aug 31, 2010·Gastrointestinal Endoscopy·Laurel FisherJason A Dominitz
Jan 25, 2012·Obstetrics and Gynecology·Tae-Hee KimSoo-Ho Chung
May 15, 2012·Gastrointestinal Endoscopy·Amandeep K ShergillBrooks D Cash
Oct 2, 2012·American Journal of Surgery·Victor B TsirlineRonald F Sing
Mar 2, 2013·Clinics in Colon and Rectal Surgery·Arpana Jain, H David Vargas
Mar 17, 2015·Journal of Visceral Surgery·P PereiraX Barth
May 7, 2015·ANZ Journal of Surgery·Maria-Pia BernardiAlexander G Heriot
Jun 6, 2015·ANZ Journal of Surgery·Michael ReevesCatherine Parker
Jun 9, 2016·Diseases of the Colon and Rectum·Jon D VogelScott R Steele
Jul 20, 2016·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·K D PekerH Alis
Sep 7, 2016·JAMA : the Journal of the American Medical Association·Joel G RayAlison L Park
May 23, 2017·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Pradeep JayaramJustin Konje
Mar 4, 2019·The American Journal of Case Reports·Jose L Pérez-LaraGilda Díaz-Fuentes

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Hereditary Sensory Autonomic Neuropathy

Hereditary Sensory Autonomic Neuropathies are a group of inherited neurodegenerative disorders characterized clinically by loss of sensation and autonomic dysfunction. Here is the latest research on these neuropathies.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Landau-Kleffner Syndrome

Landau Kleffner syndrome (LKS), also called infantile acquired aphasia, acquired epileptic aphasia, or aphasia with convulsive disorder, is a rare childhood neurological syndrome characterized by the sudden or gradual development of aphasia (the inability to understand or express language) and an abnormal electroencephalogram. Discover the latest research on LKS here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Regulation of Vocal-Motor Plasticity

Dopaminergic projections to the basal ganglia and nucleus accumbens shape the learning and plasticity of motivated behaviors across species including the regulation of vocal-motor plasticity and performance in songbirds. Discover the latest research on the regulation of vocal-motor plasticity here.