Dolkar Tsering, Adhikari Samaj, Devi Pooja, Nwani Sandra O, Dogar Muhammad
Internal Medicine, One Brooklyn Health System Interfaith Medical Center, Brooklyn, USA.
Internal Medicine, One Brooklyn Health System Interfaith Medical Center, New York, USA.
Cureus. 2022 Nov 30;14(11):e32056. doi: 10.7759/cureus.32056. eCollection 2022 Nov.
Ogilvie's syndrome, also known as acute colonic pseudo-obstruction (ACPO), is a rare disease characterized by acute dilatation of the colon in the absence of anatomic intestinal obstruction. It is of clinical importance because of its preponderance in elderly males in the seventh decade of life who may present with constipation or diarrhea. We present an 80-year-old male who presented with diarrhea, with laboratory investigations showing hypokalemia and a CT abdomen revealing colonic distension. The patient was wasting potassium both from colon and renal losses, despite low aldosterone levels. The patient was treated with Neostigmine, which helped relieve abdominal distention. Subsequently, potassium was corrected with aggressive replacement. This case sheds light on newer modalities of treatment such as neostigmine, as in this case.
奥吉尔维综合征，也称为急性结肠假性梗阻（ACPO），是一种罕见疾病，其特征为结肠在无解剖学肠梗阻的情况下急性扩张。它具有临床重要性，因为在70岁左右的老年男性中较为常见，这些患者可能出现便秘或腹泻。我们报告一例80岁男性患者，其表现为腹泻，实验室检查显示低钾血症，腹部CT显示结肠扩张。尽管醛固酮水平较低，但患者因结肠和肾脏失钾而导致钾流失。该患者接受了新斯的明治疗，这有助于缓解腹胀。随后，通过积极补钾纠正了低钾血症。如本病例所示，该病例揭示了新斯的明等新的治疗方式。
