Colonic pseudo-obstruction (Ogilvie's syndrome)

Case contributed by Mohammad Taghi Niknejad

Presentation

Sudden painless abdominal distension.

Patient Data

Age: 45 years
Gender: Male

There is gross colonic dilatation from cecum to anus with no obstructing lesion.

Case Discussion

Gross colonic dilatation from cecum to anus with no obstructing lesion in this aptient patient with sudden painless abdominal distention is compatible with colonic pseudo-obstruction.

Colonic pseudo-obstruction (also known as Ogilvie syndrome) is a potentially fatal condition leading to an acute colonic distention without an underlying mechanical obstruction ( Initially described by H Ogilvie in 1948 ).

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