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[Ogilvie's syndrome. A clinical case report]
1Istituto di Chirurgia Generale e Trapianti d'Organo, Università degli Studi, Palermo.
Minerva Chirurgica
|May 1, 1997
Summary
Ogilvie syndrome, a form of adynamic ileus causing colonic dilation without obstruction, was effectively treated in a patient using cisapride and colonoscopic decompression. This case highlights successful management strategies for acute pseudo-obstruction of the colon.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Ogilvie syndrome, or acute pseudo-obstruction of the colon, is defined by massive colonic dilation without mechanical blockage.
- It represents a distinct form of adynamic ileus, impacting bowel motility.
Observation:
- This case report details a patient diagnosed with Ogilvie syndrome.
- The patient presented with significant colonic distension characteristic of the condition.
Findings:
- The patient was successfully treated with a combination of cisapride and colonoscopic decompression.
- This therapeutic approach addressed the acute pseudo-obstruction effectively.
Implications:
- This case demonstrates the efficacy of pharmacological and endoscopic interventions in managing Ogilvie syndrome.
- Successful treatment can prevent complications associated with prolonged colonic distension.