Acute colonic pseudoobstruction (Ogilvie’s syndrome) in gynecologic and obstetric patients: case report and systematic review of the literature

Tempfer, Clemens B.; Doğan, Aşkın; Hilal, Ziad; Rezniczek, Günther A.

doi:10.1007/s00404-019-05170-4

Cited by 7 publications

(7 citation statements)

References 45 publications

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“…Then, the segmentation result is displayed; thereby, image recognition and segmentation are realized. It plays a key role in the recognition and segmentation of lesions shown in the image, and the segmentation effect is ideal [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Back Propagation Neural Network-Based Magnetic Resonance Imaging Image Features in Treating Intestinal Obstruction in Digestive Tract Diseases with Chengqi Decoction

Wang

Gao

et al. 2021

Contrast Media & Molecular Imaging

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This study was to explore the adoption effect of magnetic resonance imaging (MRI) image features based on back propagation neural network (BPNN) in evaluating the curative effect of Chengqi Decoction (CD) for intestinal obstruction (ileus), so as to evaluate the clinical adoption value of this algorithm. Ninety patients with ileus were recruited, and the patients were treated with CD and underwent MRI scans of the lower abdomen. A BPNN model was fabricated and applied to segment the MRI images of patients and identify the lesion. As a result, when the overlap step was 16 and the block size was 32 × 32, the running time of the BPNN algorithm was the shortest. The segmentation accuracy was the highest if there were two hidden layer (HL) nodes, reaching 97.3%. The recognition rates of small intestinal stromal tumor (SIST), colon cancer, adhesive ileus, and volvulus of MRI images segmented by the algorithm were 91.5%, 88.33%, 90.3%, and 88.9%, respectively, which were greatly superior to those of manual interpretation ( P < 0.05 ). After the intervention of CD, the percentages of patients with ileus that were cured, markedly effective, effective, and ineffective were 65.38%, 23.16%, 5.38%, and 6.08%, respectively. The cure rate after intervention of CD (65.38%) was much higher in contrast to that before intervention (13.25%) ( P < 0.05 ). In short, CD showed a good therapeutic effect on ileus and can effectively improve the prognosis of patients. In addition, MRI images based on BPNN showed a good diagnostic effect on ileus, and it was worth applying to clinical diagnosis.

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Section: Discussionmentioning

confidence: 99%

Back Propagation Neural Network-Based Magnetic Resonance Imaging Image Features in Treating Intestinal Obstruction in Digestive Tract Diseases with Chengqi Decoction

Wang

Gao

et al. 2021

Contrast Media & Molecular Imaging

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“…2,3 Se desarrolla típicamente en pacientes añosos hospitalizados quienes tienen asociado una condición médica o quirúrgica, tales como trauma, una cirugía reciente, desórdenes neurológicos o electrolíticos o una serie de infecciones. [4][5][6][7][8][9] El diagnóstico del Sindrome de Ogilvie esencialmente depende de la exclusión de las causas mecánicas de obstrucción colónica a través de métodos por imágenes como la radiografía de abdomen o la tomografía computada asociado a la historia clínica y la semiología del paciente. 10,11 El diagnóstico es fácilmente con la presencia del segmento colónico dilatado en ausencia de obstrucción mecánica.…”

Section: Discussionunclassified

Pseudoobstrucción colónica aguda (Sindrome de Ogilvie) posterior a una nefrectomía radical: Reporte de caso

Gentili

Colella

Deluca

et al. 2020

Revista Urología Colombiana / Colombian Urology Journal

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ResumenEl Sindrome de Ogilvie se caracteriza por una dilatación masiva del colon y una clínica sugestiva de obstrucción intestinal mecánica, sin causa orgánica. Presentamos un caso de dilatación aguda idiopática del colon secundaria a una cirugía abdominal.El objetivo de este reporte fue la descripción de una patología urológica inusual que puede pasarse por alto o tratarse como un íleo adinámico y, la revisión de la literatura relacionada con la definición, factores de riesgos, etiología, fisiopatología y el tratamiento de la misma.Paciente masculino de 61 años con antecedente de nefrectomía radical izquierda por tumor renal que, a las 48hs del alta hospitalaria, consultó por presentar distensión abdominal aguda. Se solicitó una radiografía abdominal y una tomografía computada que evidenciaba importante dilatación intestinal y un diámetro cecal mayor a 12cm.Se practicó una laparotomía exploradora de urgencia constatándose dilatación colónica del colon transverso y ascendente con un cambio de diámetro a nivel del ángulo esplénico, sin causa osbtructiva. Finalmente, se realizó colostomía en asa.A los 6 meses de seguimiento, la videocolonoscopía no mostró lesiones endoluminales concluyendo en un Sindrome de Ogilvie secundario a la nefrectomía. Finalmente, se efectuó reconstrucción del tránsito con buena evolución posterior.En nuestro caso, el Sindrome de Ogilvie fue una complicación postoperatoria y como fallaron las terapias conservadoras iniciales instauradas, este reporte provee una modalidad de tratamiento alternativo. Si se reconoce temprano y se trata adecuadamente, la pseudoobstrucción se resolverá en la mayoría de los pacientes y la tasa de mortalidad posterior será menor.

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“…In the article by Tempfer et al on the occurrence of ACPO in patients undergoing gynecological or obstetric treatment, encompassing a review of 49 case reports and 10 case series descriptions among 93 patients, 76 were pregnant. Among them, ACPO occurred in 66 cases related to cesarean section, and in 10 cases it occurred during pregnancy or postpartum after vaginal delivery [ 5 ]. The course and treatment outcomes were described for 59 individuals.…”

Section: Introductionmentioning

confidence: 99%

“…Positive effects from the chosen first-line treatment method were observed in 37% of patients. Hemicolectomy was the most common approach in case of failure of the initial treatment [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Ogilvie’s Syndrome in a Patient at 23 Weeks of Pregnancy: Report of a Rare Case with Successful Surgical Intervention

Wilczyński,

Śnieżyński

2023

Am J Case Rep

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Patient: Female, 30-year-old Final Diagnosis: Acute colonic pseudo-obstruction (Ogilvie’s syndrome) Symptoms: Abdomen distension • abdominal discomfort, nausea and vomiting • abdominal pain • tarry stool • tenderness in the abdomen Clinical Procedure: Appendectomy • cecostomy • diagnostic gastroscopy • laparotomy Specialty: Obstetrics and Gynecology • Surgery Objective: Rare disease Background: Ogilvie’s syndrome (acute colonic pseudo-obstruction) is a syndrome characterized by symptoms suggestive of intestinal obstruction without an identifiable mechanical cause. It presents with excessive dilation of the loops of the large intestine. The treatment options include conservative management, endoscopic methods, and surgical intervention. If appropriate treatment is not implemented promptly, this syndrome can lead to life-threatening complications for the patient. Acute colonic pseudo-obstruction typically occurs in elderly individuals with numerous chronic diseases, extensive surgeries, or trauma. In younger individuals, risk factors include gynecological procedures, pregnancy, and childbirth. Case Report: This work presents a case of a 30-year-old woman at 23 weeks of pregnancy. She presented with persistent abdominal pain, nausea, and vomiting for several days. The patient was initially treated at the Obstetrics Clinic, where conservative management was implemented. Due to worsening symptoms after confirming pathological distension of the colon in the magnetic resonance imaging examination, she was transferred to the surgery clinic. Due to her unstable general condition and lack of improvement with conservative treatment, she was qualified for an appendectomy with the formation of a cecostomy. The performed surgical treatment led to an improvement in the patient’s condition and did not have a negative impact on the further development of the child. Conclusions: Ogilvie’s syndrome in pregnancy is an extremely rare condition that can lead to significant complications. Its treatment requires the coordinated efforts of a multidisciplinary team of specialists. During the course of therapy, it is important to consider the limitations imposed by pregnancy on diagnostic and therapeutic methods.

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Acute colonic pseudoobstruction (Ogilvie’s syndrome) in gynecologic and obstetric patients: case report and systematic review of the literature

Cited by 7 publications

References 45 publications

Back Propagation Neural Network-Based Magnetic Resonance Imaging Image Features in Treating Intestinal Obstruction in Digestive Tract Diseases with Chengqi Decoction

Back Propagation Neural Network-Based Magnetic Resonance Imaging Image Features in Treating Intestinal Obstruction in Digestive Tract Diseases with Chengqi Decoction

Pseudoobstrucción colónica aguda (Sindrome de Ogilvie) posterior a una nefrectomía radical: Reporte de caso

Ogilvie’s Syndrome in a Patient at 23 Weeks of Pregnancy: Report of a Rare Case with Successful Surgical Intervention

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