[Successful conservative treatment of coecal perforation in a patient with Ogilvie's syndrome].

Abstract

The case report describes a 37-year-old woman who was diagnosed with Ogilvie's syndrome after caesarean section. Conservative treatment was initiated with minimal effect, and the patient was subsequently treated with IV neostigmine. A computed tomography of the abdomen revealed enlarged peritoneal cavity. However the patient was clinically unaffected without fever or signs of peritonitis. The perforation was managed with a conservative approach including antibiotics and close observation of the patient. After nine days the patient was discharged with normal gastrointestinal function and without further reported complications.

• Authors: Christian Lyngsaa Lang, Maria Cecilie Haveman, Michael Achiam
• Journal: Ugeskrift for laeger (Ugeskr Laeger) Vol. 175 Issue 16 Pg. 1120-1 (Apr 15 2013) ISSN: 1603-6824 [Electronic] Denmark
• Vernacular Title: Vellykket konservativt behandlet caecumperforation ved Ogilvies syndrom.
• PMID: 23651754 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Bacterial Agents
• Parasympathomimetics
• Neostigmine

Topics

• Adult
• Anti-Bacterial Agents (therapeutic use)
• Cecal Diseases (diagnostic imaging, drug therapy, etiology, therapy)
• Cesarean Section
• Colonic Pseudo-Obstruction (complications, diagnostic imaging, drug therapy, therapy)
• Female
• Humans
• Intestinal Perforation (diagnostic imaging, drug therapy, etiology, therapy)
• Neostigmine (administration & dosage, therapeutic use)
• Parasympathomimetics (administration & dosage, therapeutic use)
• Pregnancy
• Radiography
• Treatment Outcome