Colonic pseudo-obstruction (Ogilvie's syndrome)
Sudden painless abdominal distension.
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There is gross colonic dilatation from caecum to anus with no obstructing lesion.
2 case questions available
Gross colonic dilatation from caecum to anus with no obstructing lesion in a 47 Y/O patient with sudden painless abdominal distention is compatible with colonic pseudo-obstruction.
Colonic pseudoobstruction (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 ).
- Lang EV, Carson L, Gossler A. Gas lock obstruction of the colon: Ogilvie's syndrome revisited. AJR Am J Roentgenol. 1998;171 (4): 1014-6. AJR Am J Roentgenol (citation) - Pubmed citation
- Choi JS, Lim JS, Kim H et-al. Colonic pseudoobstruction: CT findings. AJR Am J Roentgenol. 2008;190 (6): 1521-6. doi:10.2214/AJR.07.3159 - Pubmed citation