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Related Experiment Videos

[Ogilvie syndrome].

B T Schjoldager1, J K Christensen

  • 1H:S Hvidovre Hospital, gynaekologisk afdeling.

Ugeskrift for Laeger
|July 14, 2001
PubMed
Summary
This summary is machine-generated.

Ogilvie syndrome, a rare condition causing colon dilation without obstruction, can lead to fatal cecal perforation. Early diagnosis and interventions like neostigmine or decompression are crucial for managing this pseudo-obstruction.

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Area of Science:

  • Gastroenterology
  • Abdominal Surgery
  • Critical Care Medicine

Context:

  • Ogilvie syndrome (acute colonic pseudo-obstruction) is a rare, potentially life-threatening condition.
  • Characterized by progressive dilatation of the proximal colon without mechanical blockage.
  • Often associated with medical or surgical complications, particularly post-cesarean section.

Purpose:

  • To review the pathophysiology, predisposing factors, and clinical presentation of Ogilvie syndrome.
  • To emphasize the urgency of diagnosis and outline effective management strategies.
  • To compare the outcomes of different treatment modalities, including medical and surgical options.

Summary:

  • Etiology involves autonomic dysregulation, with trauma, infection, and electrolyte imbalances as triggers.

Related Experiment Videos

  • Clinical suspicion should be high despite intermittent passage of flatus/stool; diagnostic imaging is essential.
  • Treatment options range from neostigmine and endoscopic decompression to surgical interventions like cecostomy for refractory cases.

    • Impact:

    • Highlights the risk of cecal perforation and peritonitis if left untreated.
    • Advocates for prompt diagnostic imaging (abdominal X-ray) to avoid delays.
    • Suggests that cecostomy offers a lower mortality rate compared to ileo-cecal resection in surgical management.