Re: Sind. Ogilvie
From: Fabio Roberto (faber@uol.com.br)
Fri, 16 Jul 1999 16:22:23 -0300
Desculpe Mário,
mas houve um problema com o anexo da mensagem anterior.
Aqui seguem os dois artigos encontrados:
Ogilvie's syndrome.
Hamed AD, Dare FO
Department of Radiology, Obafemi Awolowo University, Ile-Ife, Nigeria.
Four cases of Ogilvie's syndrome (acute colonic pseudo-obstruction) are reported. All occurred in the early puerperium following cesarean section and cesarean hysterectomy. In three of the patients, the diameter of the distended cecum was less than 9.0 cm and so management was conservative while in the fourth patient it was more than 9.0 cm, and so surgical intervention was carried out. A cecal diameter of 9.0 cm or above is an indication for surgical intervention to prevent possible colonic perforation. Other indications for surgery include established cecal perforation and failed conservative management. It is important that an early diagnosis is made and management instituted in order to prevent complications and associated high mortality.
Publication Types:
a.. Review
b.. Review of reported cases
PMID: 1346601, UI: 92146674
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Int J Gynaecol Obstet 1989 Feb;28(2):185-7
Ogilvie's syndrome in the postcesarean section patient.
Rodriguez-Ballesteros R, Torres-Bautista A, Torres-Valadez F, Ruiz-Moreno JA
Department of Gynecology and Obstetrics, Hospital Central Militar, Mexico City, D.F., Mexico.
Two cases of colonic pseudo-obstruction (the so-called Ogilvie's syndrome) are reported. Both patients were in the immediate postcesarean section puerperium. The importance of early diagnosis in these cases is stressed, because this complication has a high mortality rate, frequently in relation to delayed diagnosis and treatment. One patient was successfully treated with conservative measures because diagnosis was made early. A plain X-ray abdominal film which shows cecum dilatation, with or without ascending and transverse colon dilatation, and no distal air, makes the diagnosis. A cecum diameter of 9 cm or more is a surgical indication, because the possibility of wall perforation is high. Surgical techniques are: puncture decompression or cecostomy. When cecum diameter is less than 9 cm, non-surgical measures (nasogastric suction, correction of any fluid and electrolytic imbalance, and maybe a flatus tube) are indicated. Observation through repeated X-ray abdominal films shows when the surgical indication appears: (1) failure of the conservative treatment (cecal distension continues or increases); or (2) cecal perforation is documented.
PMID: 2563708, UI: 89137690
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