title: Ogilvie's syndrome--acute colonic pseudo-obstruction. Case report and review of the literature.
abstract: We present a rare entity of colonic pseudo-obstruction, characterised by severe colonic dilatation in absence of any organic obstacle. Clinical symptoms, diagnostic approach, and therapeutic measures are analysed and discussed. Many factors have been associated with this syndrome which include electrolyte imbalance, systemic infection, drugs, and occasionally, neurologic disease. Reported here is a case of acute colonic pseudo-obstruction which developed in a patient with restrictive respiratory dysfunction. Colonic decompression by means of colonoscopy, the most effective therapeutic approach for pseudo - obstruction failed, and surgical cecostomy was required. The acute colonic pseudo-obstruction, Ogilvie's Syndrome, most often appears as a complication of other clinical conditions. It is characterized by massive colonic dilatation in the absence of a mechanical cause and may lead to cecal perforation in absence of treatment. When colonic obstruction is suspected, one should always consider the possibility of the occurrence of Ogilvie's syndrome
authors.affiliation: 1st Surgical Clinic, St. Spiridon Hospital, Bd. Independentei no.1, 6600 Iasi, Romania.
authors.forename: Stefan
authors.initials: S
authors.lastname: Georgescu
authors.forename: Liviu
authors.initials: L
authors.lastname: Dubei
authors.forename: Mihael
authors.initials: M
authors.lastname: Zaharia
authors.forename: Ciprian
authors.initials: C
authors.lastname: Cîrdei
authors.forename: Felicia
authors.initials: F
authors.lastname: Crumpei
authors.forename: Cristina
authors.initials: C
authors.lastname: Cijevschi-Prelipcean
authors.forename: Maria
authors.initials: M
authors.lastname: Stoian
mesh_terms: D000368:Aged; D000465:Algorithms; D003112:Colonic Pseudo-Obstruction / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006801:Humans; D008297:Male