Acute colonic pseudo-obstruction in the immediate post-partum period, following Caesarean section is rare, and requires a high index of suspicion for diagnosis. Sometimes, rapidly progressive dilatation of the caecum can lead to perforation peritonitis. There are only a few case reports describing this important entity. Presented herein is a young primigravida, who developed Ogilvie's syndrome and peritonitis 5 days following an uneventful elective Caesarean section. Clinical details, management strategy adopted and a brief review of literature is presented to draw attention to this condition.
Keywords: Acute colonic pseudoobstruction; Caesarean section; Cecal perforation; Ogilvie’s syndrome; Perforation peritonitis; Post-partum.
© Federation of Obstetric & Gynecological Societies of India 2021.