Recurrent Acute Colonic Pseudo-obstruction Following Cesarean Section

剖腹產術後復發性急性結腸假性阻塞

吳昆霖(Kuen-Lin Wu) ； 李克釗(Ko-Chao Lee) ； 陳鴻華(Hong-Hwa Chen) ； 歐育哲(Yu-Che Ou)

《中華民國大腸直腸外科醫學會雜誌》 31卷2期 (2020/06) Pp. 117-121

https://doi.org/10.6312/SCRSTW.202006_31(2).10830

摘要

Acute colonic pseudo-obstruction (ACPO), also known as Ogilvie's syndrome, is a rare clinical entity. It is characterized by large bowel obstruction in the absence of mechanical obstruction. Management of ACPO includes mechanical decompression and conservative therapy with neostigmine. Surgery may be required when conservative treatment fails, or bowel ischemia and perforation are suspected.We described a 19-year-old female patient with recurrent ACPO following cesarean section and treatment with neostigmine.

關鍵字

Acute colonic pseudo-obstruction ； Cesarean section ； Ogilvie's syndrome ； Neostigmine

並列摘要

急性結腸假性腸阻塞（ACPO），也稱為Ogilvie氏症，是一種少見的臨床疾病。其特徵是在沒有機械性阻塞的情況下發生大腸阻塞。ACPO的處置包括機械減壓和Neostigmine的保守治療。當保守治療失敗或懷疑腸缺血和穿孔時，可能需要手術。我們個案報告提出了一名19歲的女性患者，在剖腹產後復發ACPO並以Neostigmine治療成功。

並列關鍵字

急性結腸假性阻塞 ； 剖腹產 ； Ogilvie氏症 ； Neostigmine

參考文獻

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Geller, A., Petersen, B. T., & Gostout, C. J. Endoscopic decompression for acute colonic pseudo-obstruction. Gastrointestinal endoscopy, 1996;44(2), 144-150.

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