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Bresadola V, Brollo PP, Graziano M, et al. The rare Ogilvie's Syndrome in pregnancy. How to manage? A case report and literature review. J Obstet Gynaecol. 2021;1-9doi: 10.1080/01443615.2021.1887113.
Bresadola, V., Brollo, P. P., Graziano, M., Biddau, C., Occhiali, T., & Driul, L. (2021). 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, 1-9. https://doi.org/10.1080/01443615.2021.1887113
Bresadola, Vittorio, et al. "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 vol. (2021): 1-9. doi: https://doi.org/10.1080/01443615.2021.1887113
Bresadola V, Brollo PP, Graziano M, Biddau C, Occhiali T, Driul L. The rare Ogilvie's Syndrome in pregnancy. How to manage? A case report and literature review. J Obstet Gynaecol. 2021 May 02;1-9. doi: 10.1080/01443615.2021.1887113. Epub 2021 May 02. PMID: 33938346.
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J Obstet Gynaecol. 2021 May 02;1-9. doi: 10.1080/01443615.2021.1887113. Epub 2021 May 02.

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 Bresadola, Pier Paolo Brollo, Michele Graziano, Carlo Biddau, Tommaso Occhiali, Lorenza Driul

Affiliations

  1. General Surgery Department and Simulation Center, Academic Hospital of Udine, Department of Medicine, University of Udine, Udine, Italy.
  2. Obstetrics and Gynecology Department, Academic Hospital of Udine, Department of Medicine, University of Udine, Udine, Italy.

PMID: 33938346 DOI: 10.1080/01443615.2021.1887113

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 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.

Keywords: Acute colonic pseudo-obstruction; Ogilvie’s syndrome; colonic dilation; colonoscopy; pregnancy; surgery

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