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Papers of the Week

2022 Jul 11

Aust N Z J Obstet Gynaecol

Risk factors for acute colonic pseudo-obstruction after caesarean section: A retrospective case-control study.


Ford E, Bozin M, Shedda S, McCormick J, Skandarajah A, Cade T
Aust N Z J Obstet Gynaecol. 2022 Jul 11.
PMID: 35815382.


Pregnancy and caesarean section are known to predispose to the development of acute colonic pseudo-obstruction (ACPO), a rare form of functional ileus of the distal large bowel. Pathogenesis of ACPO is likely influenced by pregnancy and childbirth and subsequent changes to hormonal, autonomic and metabolic physiology. Identifying pregnancy risk factors will assist with early identification, as the insidious onset postpartum often leads to delayed diagnosis and bowel ischaemia, perforation and sepsis.