title: Ogilvie's Syndrome.
abstract: Ogilvie's syndrome, also known as 'paralytic ileus of the colon', is characterised by pseudo-obstruction of the large intestine in the absence of any mechanical obstructing component; and presents as a massively distended abdomen. If left untreated, it may lead to bowel perforation or ischemia. Ogilvie's syndrome usually presents as a postsurgical complication, mainly due to the lack and/or restriction of movement coupled with a possible electrolyte imbalance. Here, we present a case of a pre-surgical 63-year lady, having a right hip fracture, who came with complaints of severe abdominal pain and distension for 4 days. Abdominal X-rays showed massively dilated bowel loops. Patient was successfully managed with neostigmine administration and was discharged home.
authors.affiliation: Department of Emergency Medicine, The Aga Khan University Hospital, Karachi.
authors.forename: Muhammad Waqas
authors.initials: MW
authors.lastname: Khan
authors.affiliation: Department of Emergency Medicine, The Aga Khan University Hospital, Karachi.
authors.forename: Sanniya Khan
authors.initials: SK
authors.lastname: Ghauri
authors.affiliation: Department of Emergency Medicine, The Aga Khan University Hospital, Karachi.
authors.forename: Sara
authors.initials: S
authors.lastname: Shamim
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D002800:Cholinesterase Inhibitors / Q000008:administration & dosage / Q000627:therapeutic use*; D003112:Colonic Pseudo-Obstruction / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D009388:Neostigmine / Q000008:administration & dosage / Q000627:therapeutic use*; D010277:Parasympathomimetics / Q000008:administration & dosage / Q000627:therapeutic use*; D016896:Treatment Outcome
chemical_list: D002800:Cholinesterase Inhibitors; D010277:Parasympathomimetics; D009388:Neostigmine