Leborgne J, Pannier M, Le Neel J C
Sem Hop. 1978 Jun;54(17-20):665-8.
The authors report a new case of caecal perforation complicating acute dilatation of the colon without organic obstruction (Ogilvie's syndrome). They recall the two characteristics of this syndrome : abdominal distension due to colonic ileus, without any organic cause, and the constant coexistence of an associated pathological condition (traumatic, post-operative, infective, cardio-vascular, respiratory or neurological). The major complication is caecal perforation, announced by a clinical and radiological preperforative syndrome. The pathogenesis of Ogilvie's syndrome remains mysterious. Two facts are worth attention : the role of the sympathetic nerve in intestinal paralysis and the direct intervention of an extra-intestinal pathological factor in the onset of this syndrome. Hence two therapeutic consequences : the favourable effect of splanchnic infiltrations on intestinal motility, and the parallel course of acute colonic dilatation and the extra-intestinal disease.
作者报告了一例盲肠穿孔的新病例，该病例为无器质性梗阻的结肠急性扩张（奥吉尔维综合征）并发症。他们回顾了该综合征的两个特征：因结肠麻痹引起的腹胀，无任何器质性病因，以及常伴有相关病理状况（创伤性、术后、感染性、心血管、呼吸或神经方面的）。主要并发症是盲肠穿孔，由临床和放射学上的穿孔前综合征预示。奥吉尔维综合征的发病机制仍然不明。有两个事实值得关注：交感神经在肠道麻痹中的作用以及肠外病理因素在该综合征发病中的直接干预。因此产生了两个治疗方面的结果：内脏神经浸润对肠道蠕动的有利影响，以及急性结肠扩张与肠外疾病的平行病程。
