一名58岁四肢瘫痪患者的奥吉尔维综合征病例报告。

A Case Report of Ogilvie's Syndrome in a 58-year-old Quadriplegic.

作者信息

Kumar Rosie, Cowan Brett, Quesada Daniel, Wexner Sage

机构信息

Kern Medical Center, Department of Emergency Medicine, Bakersfield, CA.

出版信息

J Educ Teach Emerg Med. 2020 Oct 15;5(4):V19-V21. doi: 10.21980/J82922. eCollection 2020 Oct.

DOI:10.21980/J82922

PMID:37465338

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10332525/

Abstract

UNLABELLED

Ogilvie's syndrome (acute colonic pseudo-obstruction) is a rare disorder characterized by an acute dilation of the colon measuring greater than 10 centimeters. Common symptoms associated with Ogilvie's include abdominal distension, abdominal pain, nausea, vomiting, constipation, and diarrhea. This report presents an uncommon case of a quadriplegic presenting to the emergency department with complaints of abdominal distention. Computed tomography and radiographic imaging studies were consistent with Ogilvie's syndrome. The patient was admitted to the hospital and started on stool softeners and bowel rest with resolution of symptoms.

TOPICS

Ogilvie's syndrome, quadriplegic, abdominal distension, colonic pseudo-obstruction.

摘要

未标注

奥吉尔维综合征（急性结肠假性梗阻）是一种罕见的疾病，其特征为结肠急性扩张，直径大于10厘米。与奥吉尔维综合征相关的常见症状包括腹胀、腹痛、恶心、呕吐、便秘和腹泻。本报告介绍了一例罕见病例，一名四肢瘫痪患者因腹胀主诉前往急诊科就诊。计算机断层扫描和放射影像学检查结果与奥吉尔维综合征相符。该患者入院后开始使用软化大便药物并进行肠道休息，症状得以缓解。