奥吉尔维综合征作为腰椎间盘手术的一种罕见并发症。
Ogilvie's syndrome as a rare complication of lumbar disc surgery.
作者信息
Caner H, Bavbek M, Albayrak A, Altinörs T C
机构信息
Baskent University Faculty of Medicine, Department of Neurosurgery, Ankara, Turkey.
出版信息
Can J Neurol Sci. 2000 Feb;27(1):77-8. doi: 10.1017/s0317167100052033.
BACKGROUND
In this study we report a rare complication after lumbar surgery, Ogilvie's syndrome, that presents as acute colonic dilatation in the absence of mechanical obstruction.
CASE
A 43-year-old obese woman underwent lumbar surgery for L4-L5 lumbar disc herniation. The patient complained of persistent abdominal distention and lack of bowel sounds. Plain radiography and ultrasonography revealed massive dilatation of the colon. Nasogastric aspiration was initiated and all analgesic drugs were withdrawn. Abdominal distention gradually disappeared within three days.
CONCLUSIONS
Only three cases of Ogilvie's syndrome following lumbar spinal surgery have been reported in the literature. In our case obesity, chronic constipation, and narcotic drugs were the most likely precipitating causes. Ogilvie's syndrome may resolve with conservative treatment, but if the cecal diameter continues to increase, colonoscopy or laparotomy may be needed to prevent perforation of colon.
背景
在本研究中，我们报告了腰椎手术后一种罕见的并发症——奥吉尔维综合征，其表现为无机械性梗阻情况下的急性结肠扩张。
病例
一名43岁肥胖女性因L4 - L5腰椎间盘突出症接受了腰椎手术。患者主诉持续腹胀且肠鸣音消失。腹部平片和超声检查显示结肠大量扩张。开始进行鼻胃管抽吸，并停用所有镇痛药。腹胀在三天内逐渐消失。
结论
文献中仅报道了三例腰椎手术后发生奥吉尔维综合征的病例。在我们的病例中，肥胖、慢性便秘和麻醉药物是最可能的诱发因素。奥吉尔维综合征可通过保守治疗缓解，但如果盲肠直径持续增大，可能需要进行结肠镜检查或剖腹手术以防止结肠穿孔。
Zotero 插件