Chabowski Mariusz, Chabowski Mariusz, Bieganski Bartosz, Kobecki Jakub, Szponder Mateusz, Janczak Dariusz, Janczak Dariusz
Department of Clinical Nursing, Faculty of Health Science, Wroclaw Medical University, 5 Bartla Street, 51-618 Wroclaw, Poland.
Department of Surgery, Fourth Military Teaching Hospital, 5 Weigla Street, 50-981 Wroclaw, Poland.
J Coll Physicians Surg Pak. 2019 Feb;29(2):178-180. doi: 10.29271/jcpsp.2019.02.178.
Ogilvie syndrome (acute colonic pseudo-obstruction) represents a clinical condition with symptoms of colonic obstruction without a distinct mechanical factor. The damage to the neural ganglia in the intestinal wall is the most likely etiology. A 62-year man was admitted to the Emergency Department due to acute dyspnea and vomiting. The patient had not defecated for 10 days prior to admission. An angio-CT revealed dilated colon, especially its left part, up to 85 mm with gas inside its lumen. During laparotomy, extremely dilated colon was confirmed with signs of the intestinal wall necrosis. A left sided hemicolectomy was performed. Despite the intensive treatment in the intensive care unit (ICU), the patient died on 3rd day after the surgery. In this case, the acute pseudo-obstruction of the large intestine was recognised late. This is due to overcrowding in this type of institution, overworked staff, and their inability to give individual attention to each patient.
奥吉尔维综合征（急性结肠假性梗阻）是一种临床表现为结肠梗阻症状但无明显机械性因素的病症。肠壁神经节受损是最可能的病因。一名62岁男性因急性呼吸困难和呕吐被收入急诊科。患者入院前10天未排便。血管造影CT显示结肠扩张，尤其是左半结肠，内径达85毫米，肠腔内有气体。剖腹手术中，证实结肠极度扩张并有肠壁坏死迹象。实施了左侧半结肠切除术。尽管在重症监护病房（ICU）进行了强化治疗，但患者在术后第3天死亡。在这种情况下，大肠急性假性梗阻的诊断较晚。这是由于这类机构人满为患、工作人员劳累过度且无法对每位患者给予个别关注所致。
