scholarly journals Ogilvie’s syndrome following cesarean delivery: a case report

2021 ◽  
Vol 8 (10) ◽  
pp. 5045
Author(s):  
Syed Uzair Mahmood ◽  
Maheen Zaidi ◽  
Syeda Kashaf Zaidi ◽  
Hanaa Tariq ◽  
Mohammad Yasir Umer
Keyword(s):  
Cesarean Delivery ◽  
Rare Condition ◽  
Abdominal Distension ◽  
Fetal Distress ◽  
Abdominal Ultrasound ◽  
Ogilvie's Syndrome ◽  
Ogilvie’S Syndrome ◽  
True Incidence ◽  
Unit Management ◽  
Plain Abdominal Film

Ogilvie’s syndrome (OS) or acute pseudo-obstruction of the large bowel, is a rare condition and the true incidence is unknown. We present a case of acute colonic pseudo-obstruction (OS) post cesarean section in a 35-year-old patient with fetal distress, following cesarean delivery at term under general anesthesia. On the second postoperative day, she complained of abdominal distension, pain, nausea, vomiting, bloating and no passage of stool. As the patient's condition did not improve, she continued to have persistent abdominal distention. A plain abdominal film was taken and abdominal ultrasound was done, which showed massive gaseous distention of the bowels without fluid level. At laparotomy, a huge distended gut, pussy flakes on intestine, and massive dilatation of the whole colon were found. Postoperatively, the patient was managed with fluids, antibiotics, nutritional support, etc., along with the standard guidelines for management of peritonitis. The patient recovered and was discharged after 1 day of intensive care unit management to the ward. The need for awareness about the syndrome and early diagnosis is emphasized. 

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

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.

scholarly journals Use of Aldosterone Antagonist to Treat Diarrhea and Hypokalemia of Ogilvie’s Syndrome

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Pradhum Ram ◽  
Abhinav Goyal ◽  
Marvin Lu ◽  
Joshua Sloan ◽  
William McElhaugh
Keyword(s):  
Marked Improvement ◽  
Colonic Mucosa ◽  
Abdominal Distension ◽  
Bk Channels ◽  
Watery Diarrhea ◽  
Ogilvie's Syndrome ◽  
High Potassium ◽  
Ogilvie’S Syndrome ◽  
Aldosterone Antagonist ◽  
Neck Fracture

Ogilvie’s syndrome (OS) is a functional obstruction of the bowel due to an autonomic imbalance. It often presents with diarrhea and is associated with hypokalemia. We present a case of a 70-year-old male who developed severe abdominal distension, watery diarrhea, and persistent hypokalemia status after left hip arthroplasty after suffering from a femoral neck fracture due to a fall and was diagnosed with OS. The persistent hypokalemia was slow to improve despite aggressive repletion because of the high potassium losses in the stool. This is most likely mediated through the increased expression of BK channels in the colonic mucosa. Aldosterone is theorized to have a role in the regulation of BK channels. Spironolactone was subsequently given and resulted in marked improvement of the diarrhea and hypokalemia. Thus, this case suggests a novel therapeutic approach for the treatment of Ogilvie’s syndrome-associated diarrhea and hypokalemia.

Amitraz: an unusual aetiology of Ogilvie's syndrome

2005 ◽  
Vol 24 (9) ◽  
pp. 481-483 ◽  
Author(s):  
Sahin Aslan ◽  
Fatih Bilge ◽  
Bulent Aydinli ◽  
Tarik Ocak ◽  
Mustafa Uzkeser ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Gastric Lavage ◽  
Vital Signs ◽  
Abdominal Distension ◽  
Clinical Findings ◽  
Fluid Replacement ◽  
Supportive Treatment ◽  
Ogilvie's Syndrome ◽  
Ogilvie’S Syndrome ◽  
The Third

Amitraz is an insecticide/acaricide of formamidine pesticides used worldwide for ectoparasites in animals. Because of its widespread use, amitraz poisoning is frequently encountered in Turkey. Case report: A 36-year-old, comatose female was admitted to the hospital. Although it was stated that she had taken a glass of water containing amitraz, the exact volume of the substance was unknown. On admission, her Glasgow Coma Scale score was 10/15. Clinical findings were vomiting, miosis, bradycardia and hypotension. The patient's vital signs were body temperature 37.28C, pulse 54 bpm, blood pressure 80/50 mmHg and pulse-oximetry 84%. Supportive treatment consisting of oxygen, fluid replacement and gastric lavage, activated charcoal and atropine was administered. On the second day, signs of Ogilvie's syndrome characterized by severe tenderness, distension and pain in the abdomen were seen. On the third day, the patient's condition improved except for abdominal distension and pain, inability to pass faeces or flatus through the anus. Although continuous nasogastric tube decompression was performed, her complaints were not resolved completely. Neostigmine was administered on the fourth day. On the fifth day, abdominal pain and distension were decreased, and stool passage began. She had a complete clinical and laboratory improvement, which warranted her discharge on the seventh day of admission.

scholarly journals Ogilvie’s Syndrome after Cesarean Section: Case Report in Saudi Arabia and Management Approach

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Lamiaa Elsebay ◽  
Mariam Ahmed Galal
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Cesarean Section ◽  
Rare Condition ◽  
Diagnostic Methods ◽  
Elective Cesarean Section ◽  
Management Approach ◽  
Ogilvie's Syndrome ◽  
Ogilvie’S Syndrome ◽  
Elective Cesarean

Background. Acute colonic pseudoobstruction or Ogilvie’s syndrome is a rare entity that is characterized by acute dilatation of the colon without any mechanical obstruction. It is usually associated with medical disease or surgery and rarely occurs spontaneously. If not diagnosed early, Ogilvie’s syndrome may cause bowel ischemia and perforation. Case. A G7P4+2, 40-year-old woman, who is a known case of gestational diabetes mellitus during her current pregnancy, four previous cesarean sections, two early pregnancy losses at six-week gestation, and hypothyroidism, underwent uncomplicated elective cesarean section, after which she complained of abdominal distention. Conclusion. Ogilvie’s syndrome is a rare condition yet of interest to obstetricians, midwifery staff, and general surgeons because its early diagnosis and prompt treatment are the keystones to avoid any subsequent fatal complications. This case report reviews the clinical characteristics, diagnostic methods, and management of Ogilvie’s syndrome. Moreover, we suggest a management approach to help in early diagnosis and prompt management to improve the outcome of this potentially serious condition.

scholarly journals Failure to Thrive: An Expanded Differential Diagnosis

2018 ◽  
Vol 08 (01) ◽  
pp. 027-032 ◽  
Author(s):  
Carrie Daymont ◽  
Roger Ladda ◽  
Jordan Lull ◽  
Can Ficicioglu ◽  
Jennifer Cohen ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Oral Intake ◽  
Failure To Thrive ◽  
Rare Condition ◽  
Abdominal Distension ◽  
Abdominal Ultrasound ◽  
Final Diagnosis ◽  
Gastrointestinal Series ◽  
Normal Limits ◽  
Patient’S History

AbstractThe patient is a term 6-month-old male, who presented with failure to thrive since birth. History was remarkable for suspected milk and soy protein allergy, gastroesophageal reflux, constipation, and abdominal distension that was present since birth. He was losing weight despite oral intake of over 100 kcal/kg per day. Prior workup including laboratory studies, abdominal X-ray, upper gastrointestinal series with fluoroscopy, barium enema, and abdominal ultrasound were all within normal limits. The patient's history, diagnostic evaluation, and final diagnosis are revealed. This case highlights a rare condition presenting as failure to thrive, a common problem with a wide differential diagnosis.

scholarly journals A case of Ogilvie’s syndrome associated with electrolyte imbalance in a healthy individual

2017 ◽  
Vol 8 (1) ◽  
pp. 101-103
Author(s):  
Robin George Manappallil ◽  
Chinganthara Cleetus Suresh ◽  
Dilshad Kadengil ◽  
Prasad Thomas ◽  
Jishnu Jayaraj
Keyword(s):  
Healthy Individual ◽  
Rare Condition ◽  
Hospitalized Patients ◽  
Electrolyte Imbalance ◽  
Healthy Individuals ◽  
Medical Sciences ◽  
Middle Aged ◽  
Ogilvie's Syndrome ◽  
Ogilvie’S Syndrome

Ogilvie’s syndrome or acute colonic pseudo-obstruction is a rare and acquired disorder characterized by significant dilatation of the colon. The condition is mainly seen in hospitalized patients with medical or surgical problems. We report the case of a middle aged healthy lady who presented with Ogilvie’s syndrome with associated electrolyte imbalance in the form of hypokalemia and hypomagnesemia. Ogilvie’s syndrome itself is a rare condition, and to the best of our knowledge has not been reported among healthy individuals yet.Asian Journal of Medical Sciences Vol.8(1) 2017 100-103 

Ogilvie's syndrome after pediatric spinal deformity surgery: successful treatment with neostigmine

2014 ◽  
Vol 14 (3) ◽  
pp. 255-258 ◽  
Author(s):  
Kristopher G. Hooten ◽  
Seth F. Oliveria ◽  
Shawn D. Larson ◽  
David W. Pincus
Keyword(s):  
Spinal Deformity ◽  
Early Recognition ◽  
Bowel Perforation ◽  
Deformity Correction ◽  
Tethered Cord ◽  
Abdominal Distension ◽  
Ogilvie's Syndrome ◽  
Ogilvie’S Syndrome ◽  
Adynamic Ileus ◽  
Spinal Deformity Surgery

Ogilvie's syndrome is a rare and potentially fatal disease that can easily be mistaken for postoperative ileus. Also known as acute colonic pseudo-obstruction, early recognition and diagnosis of the syndrome allows for treatment prior to bowel perforation and requisite abdominal surgery. The authors report a case of Ogilvie's syndrome following spinal deformity correction and tethered cord release in an adolescent who presented with acute abdominal distension, nausea, and vomiting on postoperative Day 0. The patient was initially diagnosed with adynamic ileus and treated conservatively with bowel rest, reduction in narcotic dosage, and a regimen of stool softeners, laxatives, and enemas. Despite this treatment, her clinical course failed to improve, and she demonstrated significant colonic distension radiographically. Intravenous neostigmine was administered as a bolus with a rapid and dramatic response. This case is the first reported instance of neostigmine use for Ogilvie's syndrome treatment following a pediatric neurosurgical operation.

scholarly journals COLONIC PSEUDO-OBSTRUCTION: OGILVIE’S SYNDROME

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.

scholarly journals Diagnosis and management of Ogilvie’s Syndrome post Caesarean Section.

2020 ◽  
Vol 19 (4) ◽  
pp. 157-162
Author(s):  
Leah Hawkins ◽  
Sunny Ajayi
Keyword(s):  
Caesarean Section ◽  
Lower Lobe ◽  
Abdominal Distension ◽  
Good Recovery ◽  
Ogilvie's Syndrome ◽  
Ogilvie’S Syndrome ◽  
Source Of Infection ◽  
Hospital Acquired Pneumonia ◽  
Return Home ◽  
Hospital Acquired

A 36-year-old woman presented to maternity unit two days post caesarean section (CS) with abdominal distension, pain and constipation. She was found to be septic on admission. Imaging demonstrated dilated bowel loops without an identifiable site of obstruction highlighting Ogilvie’s syndrome (OS) as the cause of her symptoms. Hospital acquired pneumonia (HAP) was identified as the source of infection with accompanying right sided lower lobe collapse. She was reviewed by multiple specialties to aid management and was subsequently managed conservatively for pseudo-obstruction. She made a good recovery and was able to return home after 10 days in hospital.

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