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East African Medical Journal

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Ogilvie’s syndrome: case report of spontaneous rupture of the ceacum following caesarean section

Omondi-Ogutu Omondi-Ogutu, J Adwok, N Nganga, E Rogena, P Olang

Abstract


In acute colonic pseudo-obstruction (ACPO) there is colonic distension without an organic obstacle (intrinsic or extrinsic to intestinal wall). This becomes a potential site of ceacal rapture which can lead to the demise of the patient. Presented is a case of a mother who had spontaneous caecal rapture five days after Caesarean delivery. At Laparotomy the ceacal rapture was confirmed and a colostomy was done. The patient succumbed in Intensive care unit two days post-operatively.




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