Case Report
Ogilvie's Syndrome after Robotic-Assisted Radical Hysterectomy for Cervical Cancer

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Abstract

Acute colonic pseudo-obstruction (ACPO), also known as Ogilvie's syndrome, is defined by poor peristaltic activity of the colon that mimics mechanical obstruction in the absence of any mechanical occlusive gut lesion. This case report is the first to be published on ACPO occurring after robotic-assisted radical hysterectomy. Given that robotic-assisted laparoscopic surgery has become the next major stage of advancement for a range of operations, especially in gynecologic oncology surgery, this report emphasizes the importance of recognizing precipitating factors associated with this syndrome, including minimally invasive surgery.

Section snippets

Case Report

A 35-year-old multiparous woman with a medical history significant for 2 cesarean sections, previous smoking, and a body mass index of 28 kg/m2, was diagnosed with cervical intraepithelial neoplasia III (CIN III) on colposcopic biopsy. Endocervical curettage demonstrated adenocarcinoma in situ. She subsequently underwent cervical conization and endometrial curettage to evaluate the extent of the disease. The final diagnosis was consistent with stage IB1 cervical adenocarcinoma, positive for

Discussion

ACPO was first described in 1948 by Ogilvie, who attributed the syndrome to tumor invasion of celiac ganglia by metastatic small cell carcinoma of the lung in 1 case and an adenocarcinoma of unknown origin in another case [2]. Since then, multiple cases of ACPO have been described either as a postoperative complication or secondary to a medical condition. Specifically, 23% of the cases of ACPO have been linked to pelvic, abdominal, orthopedic, or spinal surgery; 11% to trauma; 10% to

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    • The authors declare that they have no conflicts of interest.

    IRB/Ethics Committee ruled that approval was not required for this study.

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