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.
Journal of the College of Physicians and Surgeons Pakistan
Khan, M. W.,
Ghauri, S. K.,
(2016). Ogilvie's Syndrome. Journal of the College of Physicians and Surgeons Pakistan, 26(12), 989-991.
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_emerg_med/230
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