title: [Dysmorphic neonatal syndrome and Ogilvie syndrome].
abstract: BACKGROUND
  Acute colonic pseudo-obstruction, or Ogilvie syndrome, is a motility abnormality characterised by rapid and progressive dilation of the large intestine. To achieve a diagnosis it is fundamental to exclude mechanical obstruction with imaging studies such as computer axial tomography. The combined incidence of Ogilvie and dysmorphic syndrome has not been described.
  
  
  METHODS
  Female patient of 28 years old with a history of infant cerebral palsy came to emergency room with 4 days of intestinal obstruction. She had hypokalaemia that was reverted, but persisted with obstruction. Later after 72h with recovery of fluids and electrolytes and administration of prokinetics, the obstruction reversed. She was discharged with no complications.
  
  
  CONCLUSIONS
  Non-invasive medical treatment solves most cases. Promising results have been achieved with neostigmine. In the event of no response to drug therapy, the next step is endoscopic treatment. Even with high recurrence this is preferred due to its lower level of complications in contrast to surgical decompression. Neonatal dysmorphic syndrome is often associated with disorders of the central nervous system. So far, there have been no reports on the incidence of this disease with Ogilvie syndrome, although 9% of cases have been described as associated with neurological events. Conservative management in this disease is the initial approach. Interventions should be reserved for when conservative treatment fails.
authors.affiliation: Servicio de Cirugía General, Hospital General de México, Secretaría de Salud, Ciudad de México, México. Electronic address: md_marm@hotmail.com.
authors.forename: Marco Aurelio
authors.initials: MA
authors.lastname: Rendón-Medina
mesh_terms: D000328:Adult; D003112:Colonic Pseudo-Obstruction / Q000150:complications* / Q000000981:diagnostic imaging; D019066:Facies; D005260:Female; D006801:Humans
keywords: Acute colonic pseudo-obstruction; Intestinal occlusion; Oclusión intestinal; Ogilvie syndrome; Pseudooclusión colónica aguda; Síndrome de Ogilvie