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Ogilvie syndrome

Case contributed by Anil Kumar Geetha Virupakshappa
Diagnosis almost certain

Presentation

Right upper quadrant pain, ongoing shortness of breath, leg swelling and mild chest discomfort

Patient Data

Age: 85 years
Gender: Male
ct

Entire colonic loops including the rectum are dilated in caliber with maximum diameter measuring 10 cm and without any obstructive lesion.

No perforation or ischemia. No volvulus.

Small bowel loops are collapsed. The ileo-cecal junction appear normal.

Small left inguinal hernia, containing omental fat is noted with features of early strangulation.

Multiple hepatic cysts.

Bilateral total hip replacement.

Case Discussion

Ogilvie syndrome is also known as colonic pseudo-obstruction, is a condition with dilatation of colonic loops without any transition point of obstructive lesion.

Correction of biochemical abnormality and medical condition is the treatment. Surgical options in severe cases.

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