Ogilvie’s syndrome is a rare disease with a relatively high mortality rate (15%). It consists in significant distension of the colon, which is not caused by its obstruction. According to researchers, it usually occurs in patients with severe illness, injury, or after surgery The aim of the study is to present a clinical case report of a patient with Ogilvie’s syndrome. A 69-year-old patient with arterial hypertension, double-vessel coronary artery disease – after aortocoronary bypass surgery with abdominal pain, gas and stool retention, vomiting lasting for 3 days, came to the Hospital Emergency Department. No peritoneal symptoms were observed on examination, the abdomen was soft on palpation, no audible peristalsis. A standing X-ray of the abdominal cavity showed no perforation of the gastrointestinal tract. In the planned and performed sigmoidoscopy, no obvious obstruction in the sigmoid colon was observed. The cause of the obstruction was Ogilvie’s syndrome
Zimna AI, Wróblewski H, Wróblewska K, Dziurowicz BT, Zygmunt E. A 69-year-old patient with Ogilvie’s syndrome – case report. J Pre-Clin Clin Res. 2023; 17(2): 109–112. doi: 10.26444/jpccr/166507
Ogilvie H. Large-intestine colic due to sympathetic deprivation; a new clinical syndrome. Br Med J. 1948;2(4579):671–3.
Sunnoqrot N, Reilly RF. Hypokalemia Associated with Colonic Pseudo-Obstruction (Ogilvie’s Syndrome). Case Rep Nephrol Dial. 2015;5(2):118–23.
Wells CI, O’Grady G, Bissett IP. Acute colonic pseudo-obstruction: A systematic review of aetiology and mechanisms. World J Gastroenterol. 2017;23(30):5634–44.
Dolkar T, Adhikari S, Devi P, et al. Persistent Hypokalemia in a Patient With Ogilvie’s Syndrome. Cureus.2022;14(11)e32056.
Ontan MS, Isik AT. Ogilvie’s syndrome: bidirectional effect of hypokalaemia. BMJ Support Palliat Care. 2023.
Haj M, Haj M, Rockey DC. Ogilvie’s syndrome: management and outcomes. Medicine (Baltimore). 2018;97(27):e11187.
Hamid A, Sabu J, Elhawary O, et al. A Case of Acute Colonic Pseudo-Obstruction (Ogilvie’s Syndrome) in a Nonsurgical Patient with Plasma Cell Leukemia. Case Rep Nephrol. 2022;2022:6431248.
Underhill J, Munding E, Hayden D. Acute Colonic Pseudo-obstruction and Volvulus: Pathophysiology, Evaluation, and Treatment. Clin Colon Rectal Surg. 2021;34(4):242–50.
Vanek VW, Al-Salti M. Acute pseudo-obstruction of the colon (Ogilvie’s syndrome). An analysis of 400 cases. Dis Colon Rectum. 1986;29(3):203–10.
Valle RGL, Godoy FL. Neostigmine for acute colonic pseudo-obstruction: A meta-analysis. Ann Med Surg. 2014;3(3):60–4.
Conner S, Nassereddin A, Mitchell C. Ogilvie Syndrome. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan.
Stancanelli MR, Njandjo L, Errigo F, et al. Ogilvie Syndrome and Acute Kidney Injury: A Rare Complication of Cesarean Section and Preeclampsia. J Clin Med. 2023 Mar 14;12(6):2249.
Fadi Alali. Toxic Megacolon. (access 2023.05.17).
Journals System - logo
Scroll to top