Ogilvie’s syndrome (Acute colonic pseudo-obstruction) after caesarean section: case report

Introduction: Acute colonic pseudo-obstruction (Ogilvie’s syndrome) is a rare but potentially life-threatening condition in the immediate postpartum period, particularly following a caesarean section. Early diagnosis and management are crucial to avoid serious complications. Case Report: We present a case of a 21-year-old North African woman who developed Ogilvie’s syndrome within 24 hours of an emergency caesarean section performed for preeclampsia with neurological complications. Prompt diagnosis via computed tomography and conservative management, including nasogastric decompression and neostigmine administration, led to a favorable outcome without surgical intervention. Objective: This case report highlights the clinical presentation, management strategy, and a brief review of the literature to raise awareness of this rare condition in postpartum care.