Soares Miranda Luisa, Silva Gonçalves Carla, Silva Ezequiel, Ferreira Álvaro, Araújo Correia João, Cruz Ana Rita
Department of Medical Oncology, Centro Hospitalar Universitário de Santo António, Porto, PRT.
Department of Internal Medicine, Centro Hospitalar Universitário de Santo António, Porto, PRT.
Cureus. 2023 Jun 10;15(6):e40233. doi: 10.7759/cureus.40233. eCollection 2023 Jun.
Ogilvie´s syndrome is a colonic dilation without any existing mechanical obstruction. The risk factors that cause it are not completely understood, but if untreated, the distension can result in rupture or ischaemic bowel perforation. Additionally, the existing guidelines do not agree with each other about the next steps if conservative treatment fails. We report the case of a 71-year-old woman in whom Ogilvie´s syndrome was particularly difficult to manage, and with it, we try to add clinical data to a field with scarce evidence.
奥吉尔维综合征是一种不存在任何机械性梗阻的结肠扩张。引发该病症的风险因素尚未完全明确,但如果不进行治疗,肠管扩张可能导致破裂或缺血性肠穿孔。此外,对于保守治疗失败后的下一步措施,现有指南并未达成一致意见。我们报告了一例71岁女性患者,其奥吉尔维综合征的治疗极具挑战性,借此病例,我们试图为这一证据匮乏的领域补充临床资料。