التفاصيل البيبلوغرافية
| العنوان: |
The rare Ogilvie's Syndrome in pregnancy. How to manage? A case report and literature review. |
| المؤلفون: |
Bresadola, Vittorio, Brollo, Pier Paolo, Graziano, Michele, Biddau, Carlo, Occhiali, Tommaso, Driul, Lorenza |
| المصدر: |
Journal of Obstetrics & Gynaecology; Jan2022, Vol. 42 Issue 1, p1-9, 9p |
| مصطلحات موضوعية: |
PREGNANCY, LITERATURE reviews, SURGICAL decompression, DELAYED diagnosis, NASOENTERAL tubes, RECTAL prolapse |
| مستخلص: |
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 resolution is not achieved, a multidisciplinary team, involving the gynaecologist/obstetrician, the surgeon, the radiologist and the intensivist is mandatory to avoid diagnostic delays, thereby reducing morbidity and mortality rates. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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