[Acute colonic pseudo-obstruction after caesarean section; Ogilvie's syndrome].

BACKGROUND: Acute pseudo-obstruction of the colon - also known as Ogilvie's syndrome - is a rare clinical presentation in obstetrics. The syndrome is seen more often following caesarean section than vaginal delivery. CASE DESCRIPTION: We present a 38-year-old primigravida who developed Ogilvie's syndrome following secondary caesarean section. Despite conservative management, due to a caecal dilation of over 12 centimetres and impending perforation of the caecum, a hemicolectomy was necessary. CONCLUSION: Ogilvie's syndrome is potentially life-threatening, certainly if perforation of the bowel occurs. Prompt diagnosis and treatment are essential to prevent severe morbidity.