Abstract

PALMA RAMIREZ, Ernesto Javier et al. Ogilvie’s syndrome. Report of a case and a review of the literature. Cir. gen [online]. 2014, vol.36, n.4, pp.232-238. ISSN 1405-0099.

Introduction: Ogilvie syndrome or acute colonic pseudo-obstruction is a functional disorder of the normal intestinal colonic transit with no apparent mechanical cause. It is a rare entity. Presents with insidious and progressive colonic distension, with varying degrees of symptoms ranging from mild abdominal discomfort, nausea, vomiting and abdominal distension up hypersensitivity, fever and peritoneal irritation data compatible with different degrees of ischemia and / or colonic perforation requiring resolution emergency surgery in some cases.

Case report: We report the case of a patient with Ogilvie syndrome resolved by surgery; emphasize the initial symptoms, fi ndings on plain abdominal radiography, computed tomography and found during surgery and surgical therapy.

Conclusion: The initial step in the management of colonic pseudo-obstruction is the valuation of electrolyte and metabolic abnormalities, should also include the suspension of narcotics, anticholinergic agents and any other possible causal measures camento, excluding abdominal infection, mobilization out of bed and appropriate medical and surgical management for signifi cant comorbidities. During this period, you must perform medical examinations looking for hiperestesias serial or signs of peritonitis, and should get plain abdominal radiographs every 12-24 h complemented by colonoscopy and / or intensive care if necessary.

Keywords : Ogilvie’s syndrome; Colonic pseudo-obstruction; Colinic ileus; Neostigmine; Colonic decompression.