Khan Muhammad Waqas, Ghauri Sanniya Khan, Shamim Sara
Department of Emergency Medicine, The Aga Khan University Hospital, Karachi.
J Coll Physicians Surg Pak. 2016 Dec;26(12):989-991.
Ogilvie's syndrome, also known as 'paralytic ileus of the colon', is characterised by pseudo-obstruction of the large intestine in the absence of any mechanical obstructing component; and presents as a massively distended abdomen. If left untreated, it may lead to bowel perforation or ischemia. Ogilvie's syndrome usually presents as a postsurgical complication, mainly due to the lack and/or restriction of movement coupled with a possible electrolyte imbalance. Here, we present a case of a pre-surgical 63-year lady, having a right hip fracture, who came with complaints of severe abdominal pain and distension for 4 days. Abdominal X-rays showed massively dilated bowel loops. Patient was successfully managed with neostigmine administration and was discharged home.
奥吉尔维综合征，也被称为“结肠麻痹性肠梗阻”，其特征是在没有任何机械性梗阻因素的情况下大肠出现假性梗阻；表现为腹部极度膨胀。如果不进行治疗，可能会导致肠穿孔或缺血。奥吉尔维综合征通常表现为术后并发症，主要是由于活动缺乏和/或受限以及可能存在的电解质失衡。在此，我们报告一例63岁的术前女性患者，她因右髋部骨折入院，主诉严重腹痛和腹胀4天。腹部X线显示肠袢大量扩张。患者通过新斯的明治疗成功治愈并出院回家。
