Ogilvie's syndrome complicating low colorectal anastomosis 3 years after intraperitoneal ³²P

Bowel anastomosis after radiation can be associated with higher complication rates; however, risks after intraperitoneal ³²P are not known. A patient with recurrent ovarian cancer previously treated with ³²P, requiring a bowel resection, is presented. Low colorectal anastomosis was successfully performed. Postoperatively, she developed Ogilvie's syndrome which was treated conservatively. She subsequently was treated with docetaxel and carboplatin chemotherapy postoperatively and remains disease free 19 months after her last surgery and nearly 5 years after initial presentation.