Ileus Pasca Sectio Caesarea terkait Sindrom Ogilvie

Oleh :

dr. Utari Nur Alifah

Sindrom Ogilvie atau ileus merupakan salah satu komplikasi terkait sectio caesarea yang perlu diwaspadai. Sindrom Ogilvie atau pseudo-obstruksi kolon akut (acute colonic pseudo-obstruction/ ACPO) merupakan bentuk khas dari dilatasi kolon tanpa adanya bukti penyebab anatomis atau mekanik. Dilatasi usus ini secara klasik terjadi pada caecum dan kolon ascendens dengan adanya transisi di dekat fleksura splenika.[1,2]

Sindrom Ogilvie menimbulkan gangguan motilitas pada usus normal, menyebabkan akumulasi udara dan cairan berlebih. Pada pemeriksaan radiologi, seringkali muncul gambaran kolon yang terdilatasi tanpa adanya bukti lesi obstruktif. Tanpa terapi, distensi dapat menyebabkan perforasi usus karena ruptur atau iskemia. Pasien yang menjalani pembedahan, seperti sectio caesarea (SC) sering mengalami sindrom Ogilvie pada hari ke-3 sampai ke-5 pasca operasi.[1-3]

Sindrom Ogilvie pada Kehamilan dan Persalinan

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Referensi

1. Conner S, Nassereddin A, Mitchell C. Ogilvie Syndrome. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. https://www.ncbi.nlm.nih.gov/books/NBK526102/
2. Soares Miranda L, Silva Gonçalves C, Silva E, Ferreira Á, Araújo Correia J, Cruz AR. A Challenge Called Ogilvie´s Syndrome. Cureus. 2023 Jun 10;15(6):e40233. doi: 10.7759/cureus.40233.
3. Du C, Iftikhar N, Ganti L, et al. Acute Colonic Pseudo-Obstruction: A Case of Ogilvie Syndrome. Cureus, 2024. 16(8): e66038. DOI 10.7759/cureus.66038
4. 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. Journal of Obstetrics and Gynaecology, 2021. 42(1), 1–9. https://doi.org/10.1080/01443615.2021.1887113
5. Rothfuss V, Reisenauer C, Bachmann C. Ogilvie syndrome after cesarean section. Arch Gynecol Obstet. 2024; 309(2):721-722. doi: 10.1007/s00404-023-07052-2.
6. Wilczyński B, Śnieżyński J. Ogilvie's Syndrome in a Patient at 23 Weeks of Pregnancy: Report of a Rare Case with Successful Surgical Intervention. Am J Case Rep. 2023; 24:e941283. doi: 10.12659/AJCR.941283.
7. Lushefski K, Summa C H, Zemp C, et al. Postpartum Ogilvie's Syndrome After a Vaginal Delivery. Cureus, 2024. 16(4): e58483. DOI 10.7759/cureus.58483
8. Hennebery RB, Burke CA, Bank TC, et al. Risk factors for postoperative ileus after cesarean delivery. Am J Obstet Gynecol MFM 2022;XX:x.ex–x.ex.
9. Bhakta A, Li T, Bhagwanani G, Rao T. Ogilvie's syndrome after an emergency caesarean section: a case report. Case Reports in Women's Health. 2022; 34:e00392.
10. Sninate S, Bellamlih H, Allioui S, Jroundi L, Laamrani FZ. Ogilvie Syndrome Following Caesarean Section: A Case Report. Galician medical journal. 2021; 28(2):E202126-.
11. Hawkins L, Ajayi S. Diagnosis and management of Ogilvie’s Syndrome post Caesarean Section. Hellenic Journal of Obstetrics & Gynecology ISSN.;2241:9276.
12. Hawkins L, Ajayi S. Diagnosis and management of Ogilvie’s Syndrome post caesarean section: Case report. Morecambe Bay Medical Journal. 2020; 8(8):227-9.
13. Manoharan V, Bharathy KG, Sikora SS. Ogilvie’s Syndrome with Perforation Peritonitis after Caesarean Section. The Journal of Obstetrics and Gynecology of India. 2022; 72(Suppl 2):353-5.
14. Peng Y, Peng C. Acute colonic pseudo-obstruction with bowel rupture after caesarean section in HELLP syndrome: a case report. BMC Pregnancy Childbirth, 2020. 20, 727. https://doi.org/10.1186/s12884-020-03414-9