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Ogilvie's Syndrome.

Muhammad Waqas Khan1, Sanniya Khan Ghauri1, Sara Shamim1

  • 1Department of Emergency Medicine, The Aga Khan University Hospital, Karachi.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|January 4, 2017
PubMed
Summary
This summary is machine-generated.

Ogilvie's syndrome, a colonic pseudo-obstruction, can cause severe abdominal distension. This case highlights successful pre-surgical management of Ogilvie's syndrome with neostigmine in a hip fracture patient.

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Emergency Medicine

Background:

  • Ogilvie's syndrome, or acute colonic pseudo-obstruction, mimics mechanical bowel obstruction.
  • It presents with abdominal distension and can lead to serious complications like perforation or ischemia.
  • Often associated with post-operative immobility and electrolyte imbalances.

Observation:

  • A 63-year-old female presented with a 4-day history of severe abdominal pain and distension.
  • The patient had a pre-surgical right hip fracture.
  • Abdominal X-rays revealed massively dilated bowel loops.

Findings:

  • The patient was diagnosed with Ogilvie's syndrome.
  • Successful management was achieved with neostigmine administration.
  • The patient was discharged home in stable condition.

Implications:

  • This case demonstrates neostigmine as an effective treatment for Ogilvie's syndrome in pre-surgical patients.
  • Early diagnosis and intervention are crucial to prevent complications.
  • Highlights the importance of considering Ogilvie's syndrome in patients with abdominal distension, even pre-operatively.