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髋部骨折合并急性结肠假性梗阻(奥吉尔维综合征)的围手术期管理:一例报告

Perioperative Management of a Hip Fracture Complicated With Acute Colonic Pseudo-Obstruction (Ogilvie's Syndrome): A Case Report.

作者信息

Zemrani Hamza, Aberouch Larbi, Chajai Salim, Tadili Jawad, Ech-Cherif El Kettani Mohammed Ali, Faroudy Mamoun

机构信息

Surgical Intensive Care Unit, Ibn Sina University Hospital, Rabat, MAR.

Anesthesiology and Critical Care, Ibn Sina University Hospital, Rabat, MAR.

出版信息

Cureus. 2025 Jun 28;17(6):e86926. doi: 10.7759/cureus.86926. eCollection 2025 Jun.

Abstract

Acute colonic pseudo-obstruction (Ogilvie syndrome) is characterized by a marked dilation of the colon in the absence of mechanical obstruction. This rare syndrome can occur in at-risk patients after trauma and in the preoperative period. We report on the case of a patient who presented with acute colonic pseudo-obstruction after a hip fracture, who was treated conservatively for her Ogilvie syndrome and then operated on for the fracture. This report highlights the perioperative challenges related to this condition and the importance of a timely diagnosis and management.

摘要

急性结肠假性梗阻(奥吉尔维综合征)的特征是在无机械性梗阻的情况下结肠显著扩张。这种罕见综合征可发生于创伤后的高危患者以及术前阶段。我们报告一例髋部骨折后出现急性结肠假性梗阻的患者,该患者针对奥吉尔维综合征接受了保守治疗,随后因骨折接受了手术。本报告强调了与该病症相关的围手术期挑战以及及时诊断和管理的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d7e/12303362/d0a8e5932999/cureus-0017-00000086926-i01.jpg

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