Fatal Ogilvie’s syndrome after hip surgery and review of the literature

Aguiar, Diego; Fracasso, Tony; Lardi, Christelle

doi:10.1007/s12024-022-00470-9

Cited by 3 publications

(1 citation statement)

References 24 publications

(41 reference statements)

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“…Ogilvie´s syndrome also named acute colonic pseudo-obstruction is a pathologic dilatation of the colon without the presence of an organic obstruction [1,2]. Risk factors leading to Ogilvie´s syndrome are not clearly understood, but it is believed that systemic illness, chirurgic insult and some medications can contribute to a deregulation of the enteric nervous system with autonomic imbalance [3]. Ogilvie´s syndrome is an important source of morbidity and mortality, with ischemia and perforation being the most serious complications.…”

Section: Introductionmentioning

confidence: 99%

A Challenge Called Ogilvie´s Syndrome

Miranda¹,

Gonçalves²,

Silva³

et al. 2023

Cureus

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Ogilvie´s syndrome is a colonic dilation without any existing mechanical obstruction. The risk factors that cause it are not completely understood, but if untreated, the distension can result in rupture or ischaemic bowel perforation. Additionally, the existing guidelines do not agree with each other about the next steps if conservative treatment fails. We report the case of a 71-year-old woman in whom Ogilvie´s syndrome was particularly difficult to manage, and with it, we try to add clinical data to a field with scarce evidence.

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Section: Introductionmentioning

confidence: 99%

A Challenge Called Ogilvie´s Syndrome

Miranda¹,

Gonçalves²,

Silva³

et al. 2023

Cureus

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Acute Colonic Pseudo-Obstruction (ACPO)

Patel,

Collier,

Bohl

et al. 2024

Unusual Conditions That Every Orthopaedic Surgeon Should Know

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Ogilvie syndrome with caecal perforation following cesarean section: a rare case report from Jordan

Obeidat,

Alshwayyat,

Alshwayyat

et al. 2024

Annals of Medicine &Amp; Surgery

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Introduction: Ogilvie syndrome is a rare condition characterized by acute colonic dilation. In 1948, H. Ogilvie first described it in medical literature. Its incidence is estimated at 100 cases per 100 000 per year in the US. Both abdominal distention and pain are considered major symptoms. Presentation of case: A 32-year-old woman, 36+1 weeks pregnant, experienced labour pain and was admitted to the hospital. Upon examination, she was in labour, but the foetus was in a breech position, necessitating a caesarean section. After 36 h later, she returned to the emergency department with severe, 1-day-old diffuse abdominal pain, accompanied by moderate bilious vomiting and significant abdominal distension. Abdominal CT with contrast revealed pneumoperitoneum, abdominal wall emphysema, and pneumatosis intestinalis involving the caecum and ascending colon, suggesting bowel necrosis. Emergency laparotomy revealed a caecal perforation, which was closed surgically without resection. Clinical discussion: Ogilvie syndrome is more common in males but can occur in females for several reasons, including pregnancy, caesarean section, pelvic surgeries, and trauma. Several factors contribute to the occurrence of this syndrome, such as pelvic fractures and cardiac events. Surgery may be required if there is suspicion of bowel perforation or ischaemia. Conclusion: OS is a rare condition in women, often seen after childbirth or pelvic surgery, with an unclear cause but believed to be related to autonomic nervous system imbalance. Patients with abdominal pain and distension, without evidence of obstruction, should be evaluated for pseudo-obstruction using abdominal pelvic CT, and treatment may involve conservative measures, medication, and colonoscopic decompression.

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Fatal Ogilvie’s syndrome after hip surgery and review of the literature

Cited by 3 publications

References 24 publications

A Challenge Called Ogilvie´s Syndrome

A Challenge Called Ogilvie´s Syndrome

Acute Colonic Pseudo-Obstruction (ACPO)

Ogilvie syndrome with caecal perforation following cesarean section: a rare case report from Jordan

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