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Reviews of Progress International Weekly Medical Research Journal ISSN 2321-3485 Impact Factor : 4.3222 (UIF) [Yr.2017] ROP TODAY

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Volume :1 Issue : 45  of  March    05  2014 Acute Colonic Pseudo-Obstruction (Ogilvie's Syndrome) - A Rare Complication in T otal Abdominal Hysterectomy and Bilateral Salpingo-Oophorectomy (T AHBSO)WithSigmoidectomy Author Name:Sarmukh S ,MO Myint ,Salleh M ,Shaker Ah and Thamilselvam P Show Author Profile Abstract: Background: Acute colonic pseudo-obstruction(Ogilvie's Syndrome) as a syndrome was first described by Ogilvie in 1948.'It is characterized by colonic dilatation in the absence of mechanical obstruction or any obvious causes of paralytic ileus. The condition can occur in patients with various metabolic, surgical, and medical problems. It can also be idiopathic in a small percentage of patients. Case Report: A 48 year old malay lady .Diagnosed with Ovarian Carcinoma proceeded with T ABHSO ,supracolicomentectomy and sigmoidectomy . Post operatively noted the abdominal drain was 600 cc (ser ous) procede with CT abdomen TRO anastomosis leak and the CT findings shows dilated lar ge bowel with distal tapering and some narrowing at the presumed anastomotic site at the rectum. Impr ession was Mechanical obstruction. W e proceeded with the Colonoscopy for decompression and to look for the anastomosis site. Our diagnosis was pseudo-obstruction of colon (functional obstruction / Ileus) as ther e is no evidence of mechanical obstruction and the whole colon was found distended. Conclusion: W e believe that Ogilvie's Syndrome, though uncommon, is a diagnosis to consider when investigating patients who have recently undergone T AHBSO withsigmoidectomy.Colonoscopy at the earliest possible time can be of both diagnostic and therapeutic value as it provides. Comments Type Comment..... Recent Comment's Social Networks Columnists louis vuitton replica Copyright ?2013 - oldroprogress.lbp.world , Email Us At : reviewsofprogress@yahoo.com to publish your article.