Ogilvie's syndrome
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Background
- Ogilvie syndrome is also known as acute colonic pseudo-obstruction
- Unknown mechanism: ?autonomic nervous system dysregulation of colon motor activity
- Predisposing factors: recent surgery, underlying neurologic disorders, critical illness
Clinical Features
- Signs, symptoms and radiographic appearance of acute large Bowel obstruction but no evidence of distal colonic obstruction
- Massively dilated colon (>10cm)
- At risk for perforation, peritonitis and death
Differential Diagnosis
Diagnosis
Work-up
- Same as bowel obstruction
Evaluation
Management
- Varies, requires surgical consultation
- May resolve with conservative treatment or require colonoscopic decompression or operative management
Disposition
- Admission
See Also
External Links
References
- Rocco V. Acute and Chronic Constipation In: Tintinalli's Emergency Medicine. 7th ed. McGraw-Hill. 2011: Chapter 77