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[Successful conservative treatment of coecal perforation in a patient with Ogilvie's syndrome].

Ugeskrift for laeger (2013-05-09)
Christian Lyngsaa Lang, Maria Cecilie Haveman, Michael Achiam
ABSTRACT

The case report describes a 37-year-old woman who was diagnosed with Ogilvie's syndrome after caesarean section. Conservative treatment was initiated with minimal effect, and the patient was subsequently treated with IV neostigmine. A computed tomography of the abdomen revealed enlarged peritoneal cavity. However the patient was clinically unaffected without fever or signs of peritonitis. The perforation was managed with a conservative approach including antibiotics and close observation of the patient. After nine days the patient was discharged with normal gastrointestinal function and without further reported complications.

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