Colonoscopic decompression for acute pseueteobstruction of the colon (Ogilvie's syndrome)

Colonic pseudo-obscruction, or Ogilvie's syndrome, is characterized by marked distension of the large intestine in the absence of mechanical obstruction. Etiology is unknown. Left untreated, it may lead to perforation with a mortality of 46%. Reversible causes such as electrolyte imbalance, anricholinergic drugs, analgesics, steroids or hypothyro1d1sm should he excluded. Early recognition of pseudo-obstruction with institution of supportive means followed by colonoscopic decompression with rube placement should be successful in all cases.

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COLONIC PSEUDO-OBSTRUCTION: OGILVIE’S SYNDROME

V F Snegirev Archives of Obstetrics and Gynecology ◽

10.18821/2313-8726-2018-5-4-222-224 ◽

2018 ◽

Vol 5 (4) ◽

pp. 222-224

Author(s):

Ulviyya Gasimova ◽

S. Elhamamsy

Keyword(s):

Rare Condition ◽

Signs And Symptoms ◽

Ogilvie's Syndrome ◽

First Line ◽

Abdominal Ct ◽

Ogilvie’S Syndrome ◽

Abdominal Ct Scan ◽

History Of ◽

Mechanical Bowel Obstruction ◽

Colonoscopic Decompression

Acute colonic pseudo-obstruction (Ogilvie’s syndrome) is a rare disorder associated with spontaneous colonic dilatation with signs and symptoms of mechanical bowel obstruction and dilatation on imaging. We report a 37 year-old female, with three-month history of Caesarian Section at 38th week of pregnancy due to fetal malpresentation. Abdominal CT-scan revealed chronic diffuse colonic distention, 17 cm in diameter. No cause of obstruction could be determined. A diagnosis of Ogilvie’s syndrome was made. The increased size of the colon with leukocytosis warranted urgent colonoscopic decompression. The patient recovered well. If not managed appropriately, Ogilvie’s syndrome can progress to bowel ischemia and perforation with significant morbidity and mortality. The first line of treatment of early disease is conservative management with neostigmine or colonoscopic decompression. Our purpose is to review the diagnosis and management of this potentially lethal rare condition.

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Ogilvie's syndrome presented with delirium in an older lady with corticobasal syndrome

Palliative & Supportive Care ◽

10.1017/s1478951521001000 ◽

2021 ◽

pp. 1-3

Author(s):

Feyza Mutlay ◽

Derya Kaya ◽

Ahmet Turan Isik

Keyword(s):

Palliative Care ◽

Health Care Professionals ◽

Colonic Obstruction ◽

Holistic Approach ◽

Abdominal Distension ◽

Corticobasal Syndrome ◽

Ogilvie's Syndrome ◽

Geriatric Population ◽

Ogilvie’S Syndrome ◽

Neurological Illnesses

Abstract Objective Corticobasal syndrome (CBS) is one of an atypical parkinsonian syndromes characterized by extrapyramidal features as well as cortical involvement signs. A variety of factors may lead to delirium in older adults with chronic progressive life-limiting neurological illnesses like CBS. Ogilvie's syndrome (OS) is an acute colonic pseudo-obstruction in which abdominal distension, nausea, vomiting, and constipation can be seen. We report a case of OS identified as the underlying possible cause of delirium in an 80-year-old woman with CBS. We also discuss the importance of holistic approach which is essential to manage the underlying cause and to preserve the quality of life in particular for the frail geriatric population who potentially needs palliative care or already benefits from palliative care. Method An older patient with CBS presented with symptoms similar to that of acute colonic obstruction and subsequently developed delirium. The patient was found to have colonic pseudo-obstruction (OS). Result Neostigmin infusion was therefore given to treat it and delirium was resolved. Significance of results To the best of our knowledge, clinical manifestation of delirium as OS in a patient with CBS has not been previously reported. OS may be superimposed to CBS in older patients, and OS in such patients may play a role as a precipitating factor for the development of delirium. Given the fact that CBS is progressive and rare neurodegenerative disease and almost all of these patients need palliative care, eventually, health-care professionals, especially in palliative care, should be aware of distinctive challenges of life-limiting chronic neurological illnesses, such as conditions that may lead to the development of acute colonic pseudo-obstruction because the rapid treatment of them prevents the use of potentially harmful drugs, surgical procedures, or inappropriate interventions.

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