2020, Number 5
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Rev Fac Med UNAM 2020; 63 (5)
Ogilvie Syndrome Associated with Prolonged Hospitalization in a Patient with an Ischemic Cerebrovascular Event. Case Report
Ramírez SLE, Mora MVS, Chimal JMF, Bufajer MJM, González MO
Language: Spanish
References: 10
Page: 38-42
PDF size: 351.23 Kb.
ABSTRACT
Introduction: Ogilvie’s syndrome or acute colonic pseudo-
obstruction is the acute dilation of the colon without
evidence of mechanical obstruction and is attributed to an
autonomic imbalance of motor innervation of the colon. It is
common in hospitalized patients with significant comorbidities.
Its management is staggered, reserving surgical management
for cases refractory to initial medical management
or with the presence of complications such as perforation
and sepsis data.
Case report: We present the case of a 69-year-old male patient
who went to the emergency service in the context of a
cerebral vascular event. He underwent prolonged intubation,
which began 17 days after his admission with abdominal distention
refractory to medical management, with significant
colonic dilation corroborated by abdominal tomography, so
it was decided to manage it surgically.
Conclusions: It is important to make an early diagnosis of this
syndrome to avoid complications of the disease, as well as
surgery. It is important to make a differential diagnosis with
other causes of occlusion and have a high index of suspicion
since it is a diagnosis of exclusion.
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