Ogilvie syndrome

Case contributed by Hani M. Al Salam
Diagnosis almost certain

Presentation

Abdominal detention

Patient Data

Age: 20 years
Gender: Male
x-ray

Massive distension of the large bowel is seen. 

ct

Findings on plain films confirmed, with massive large bowel distension, with no transition point. No evidence of pneumoperitoneum. Collapsed small bowel loops. 

Barium

Dilated large bowel, no transition point. No radiologic evidence of Hirschsprung's disease. 

Case Discussion

The studies are negative for Hirschsprung's disease. Colonic pseudo-obstruction (Ogilvie syndrome) is an acute colonic distention without an underlying mechanical obstruction.

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