Open AccessJournal Article
[Ogilvie's syndrome].
31
TL;DR: Ogilvie's Syndrome is defined as acute distension of the colon without any mechanical obstruction, and the best surgical treatment is the tube cecostomy.
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Abstract: Ogilvie's Syndrome is defined as acute distension of the colon without any mechanical obstruction. We reported two new cases who underwent surgical treatment and the revision of the literature. Four hundred eight-six cases are described until now. The physiopathology is unknown. The diagnosis is done with abdominal x-ray, barium enema must be used with attention. The more frequent symptoms are nausea, vomiting, diarrhea, and abdominal pain. The perforation of the colon is possible with a diameter of 9-12 cm. The mortality was 11.3% in two hundred ninety patients (59.6%) who underwent conservative treatment. In one hundred ninety-six patients who underwent surgical treatment the mortality was 28.5%. The treatment is conservative, medical or endoscopic. The best surgical treatment is the tube cecostomy.
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Citations
Acute colonic pseudo-obstruction
R. De Giorgio,Charles H. Knowles +1 more
TL;DR: The pathogenesis and surgical management of the syndrome of acute colonic pseudo-obstruction is reviewed and early diagnosis is stressed as a pivotal factor in reducing morbidity and mortality.
232
Acute colonic pseudo-obstruction: A systematic review of aetiology and mechanisms.
TL;DR: An improved understanding of the aetiology of ACPO may facilitate the development of targeted strategies for its prevention and treatment and elucidate the pathophysiological mechanisms leading to altered colonic function.
128
Ogilvie's syndrome as a rare complication of lumbar disc surgery.
TL;DR: Obesity, chronic constipation, and narcotic drugs were the most likely precipitating causes and Ogilvie's syndrome may resolve with conservative treatment, but if the cecal diameter continues to increase, colonoscopy or laparotomy may be needed to prevent perforation of colon.
Post‐cesarean section acute colonic pseudo‐obstruction with spontaneous perforation
S. Singh,A. Nadgir,R.M. Bryan +2 more
TL;DR: A 41-year-old second gravida had an emergency cesarean section for prolonged second stage of labour and developed abdominal distension from the second post-operative day, physical examination revealed distended tender.
18
Acute colonic pseudo-obstruction after caesarean section
TL;DR: In acute colonic pseudo-obstruction (Ogilvie’s syndrome) there is an adynamic ileus without mechanical obstruction, characterised by dilatation of the caecum and right colon, which is usually associated with caesarean section.
16
References
Acute colonic pseudo-obstruction: A systematic review of aetiology and mechanisms.
TL;DR: An improved understanding of the aetiology of ACPO may facilitate the development of targeted strategies for its prevention and treatment and elucidate the pathophysiological mechanisms leading to altered colonic function.
128
Ogilvie's syndrome as a rare complication of lumbar disc surgery.
TL;DR: Obesity, chronic constipation, and narcotic drugs were the most likely precipitating causes and Ogilvie's syndrome may resolve with conservative treatment, but if the cecal diameter continues to increase, colonoscopy or laparotomy may be needed to prevent perforation of colon.
Post‐cesarean section acute colonic pseudo‐obstruction with spontaneous perforation
S. Singh,A. Nadgir,R.M. Bryan +2 more
TL;DR: A 41-year-old second gravida had an emergency cesarean section for prolonged second stage of labour and developed abdominal distension from the second post-operative day, physical examination revealed distended tender.
18
Acute colonic pseudo-obstruction after caesarean section
TL;DR: In acute colonic pseudo-obstruction (Ogilvie’s syndrome) there is an adynamic ileus without mechanical obstruction, characterised by dilatation of the caecum and right colon, which is usually associated with caesarean section.
16
Spontaneous postpartum hepatic rupture
R Zeirideen,Rezan A. Kadir +1 more
TL;DR: A 28-year-old primigravid woman presented with swelling of her fingers and headache at 32 weeks’ gestation and had an emergency caesarean section at 35 weeks, where she developed fulminant haemolysis, elevated liver enzymes, low platelets HELLP syndrome.
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