Ogilvie's syndrome after orthopedic trauma surgery: A case report

Ogilvie's syndrome, characterized by acute colonic pseudo-obstruction without mechanical blockage, typically affects the elderly or postoperative patients but is rarely reported after orthopedic trauma surgery. We described a 73-year-old man who developed persistent vomiting and abdominal distension following open reduction and internal fixation of tibial fractures and percutaneous pedicle screw fixation for thoracolumbar compression fractures. Imaging revealed diffuse intestinal dilation, predominantly involving the colon, without obstruction. Conservative management with bowel rest and supportive care led to gradual symptom resolution over 2 weeks. This case highlights that Ogilvie's syndrome can complicate postoperative recovery in orthopedic trauma patients. Early imaging to exclude mechanical obstruction and vigilant monitoring are essential to guide conservative treatment and prevent serious complications such as perforation.