Case Report on Ogilvie Syndrome in a Non-Surgical Candidate

Abstract

Ogilvie syndrome, also known as “paralytic ileus of the colon,” is characterized by pseudo- obstruction of the colon without any component of mechanical obstruction; and presents as a massively distended abdomen. If left untreated, it carries a high risk of colonic perforation and ischemia leading to death. Ogilvie syndrome usually presents as a post-surgical complication, mainly due to the lack and/or restriction of movement coupled with a possible electrolyte imbalance. In this case, the patient was a non-surgical candidate who presented with a hip fracture after a mechanical fall. Three days post-fall, she developed nausea, abdominal discomfort, and constipation during her hospitalization, which gradually resulted in a massively distended abdomen. The patient was managed conservatively with a nasogastric tube, rectal tube decompression, Metoclopramide, and Magnesium Citrate administration. Abdominal X-rays showed massively dilated bowel loops. An abdominal CT scan showed diffuse dilation of the large bowel without a transition point, suggesting obstruction favoring colonic paralytic ileus. She was discharged to a rehabilitation facility for further physical therapy.

Pulmonary Embolism in a Young African American Male: A Diagnostic Challenge

“…The case reported by Walker et al shares key similarities with our case, as both involve young patients presenting with PE and right ventricular strain, highlighting the importance of considering PE even in younger populations without apparent risk factors [ 16 ]. The study by Zakai et al provides important context for understanding the increased risk of VTE in African Americans, particularly in younger age groups, which is relevant to our case involving a young African American male [ 5 ].…”

“…Individualized thromboprophylaxis is increasingly recognized as essential in managing VTE, particularly when conventional risk factors may not fully explain thrombotic events. Acknowledging that each patient presents a unique profile of risk factors, comorbidities, and clinical circumstances, tailored thromboprophylaxis maximizes efficacy while minimizing adverse events [ 16 ]. Traditional risk assessment tools such as the Wells score may not fully capture nuanced risk factors.…”