[Ogilvie's syndrome: a rare cause of the acute abdomen].
Ogilvie's syndrome (acute colonic pseudo-obstruction) is a rare clinical disease characterized by segmental distension of the proximal colon caused by a paralysis without mechanic obstruction. It may be a sequel of underlying neurological, medical or surgical disease. Risk factors are respiratory decompensation, electrolyte disturbances and different drugs. A special kind is the primary idiopathic pseudoobstruction with a high risk of perforation or necrosis. Especially elderly patients (> 70 years) with cardiovascular or neurologic diseases and accordant drugs are concerned. Clinical symptoms are progressive abdominal distension and abdominal pain like an acute abdomen. The differential diagnosis of a mechanic ileus is important for further treatment. This case report should draw attention to this rare disease.
Kuhn
R
R
Klinik für Allgemein-, Viszeral- und Gefässchirurgie, Otto-von-Guericke-Universität Magdeburg. roger_kuhn@web.de
Schulz
H-U
HU
Pross
M
M
Lippert
H
H
D000006:Abdomen, Acute / Q000209:etiology* / Q000628:therapy; D000368:Aged; D003112:Colonic Pseudo-Obstruction / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D003113:Colonoscopy; D003937:Diagnosis, Differential; D004733:Enema; D005260:Female; D005769:Gastrointestinal Motility / Q000187:drug effects; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis; D010535:Laparoscopy; D010205:Pantothenic Acid / Q000008:administration & dosage / Q000031:analogs & derivatives*; D011729:Pyridostigmine Bromide / Q000008:administration & dosage; D012307:Risk Factors; D014057:Tomography, X-Ray Computed
D010205:Pantothenic Acid; C007288:dexpanthenol; D011729:Pyridostigmine Bromide