Acute colonic pseudo-obstruction or Ogilvie syndrome (OS) is a rare condition characterized by progressive dilatation of cecum and right colon in the absence of any mechanical obstruction and with possible high mortality rate. It usually occurs in a setting of recent serious medical illness, severe electrolyte disturbance or surgical procedure.With the increasing rate of cesarean section (C/S), there have been some reports of OS among obstetric patients. We present a case of OS after an uneventful C/S for twin pregnancy which resulted in cecal necrosis.