Abstract

MARTINEZ PIZARRO, Sandra. Ogilvie Syndrome. Rev Clin Med Fam [online]. 2021, vol.14, n.1, pp.31-33.  Epub Mar 22, 2021. ISSN 2386-8201.

Ogilvie syndrome consists of an acute pseudo-obstruction of the colon without a justifying organic cause. Its aetiology is unknown. However, it has been associated with neurological disorders, surgery, heart failure, infections, hydroelectrolytic disorders and use of some drugs such as benzodiazepines or tricyclic antidepressants. We report the case of a 62-year-old man with abdominal pain, constipation, nausea and distended and tympanic abdomen. We performed a physical examination, x-ray and opaque enema, whereby Ogilvie syndrome was diagnosed. Conservative treatment was begun with fasting, intravenous serum and rectal tube. Given the absence of improvement, it was necessary to use neostigmine, to which the patient responded satisfactorily. In primary care early diagnosis is essential by means of appropriate taking of history and physical examination performed to detect its clinical signs and risk factors.

Keywords : Abdominal Pain; Colonic Pseudo-Obstruction; Constipation; Neostigmine; Ogilvie Syndrome.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )