Ogilvijev sindrom nakon operacije kičmenog stuba

Romulo Pedroza-Pinheiro,Defino Aparecido,Costa Tavares,Leonardo Nascimento-Ribeiro

doi:10.24125/sanamed.v16i3.523

Abstract

Objective: Ogilvie syndrome is a rare disease characterized by acute abdominal pain and distention in the absence of mechanical obstruction. It is a rare condition that usually affects hospitalized patients in association with severe illness or after surgery. A few cases have been reported after spinal surgery. Material and Methods: Retrospective reports of Ogilvie syndrome in three patients that underwent spinal surgery (two posterior lumbar instrumented fusion and one anterior cervical fusion). Surgical treatment was required in two patients and conservative treatment in one out the three patients. Results: Two patients had a complete recovery of symptoms and signs of the disease, and one died. Conclusion: Ogilvie syndrome is rare, but it should be considered a differential diagnosis in patients who have undergone surgery and present with significant abdominal pain and distention. Level of evidence II; Retrospective study.

Highlights

Ogilvie syndrome is the eponym to describe a rare condition characterized by acute colonic dilation in the absence of mechanical obstruction colonic [1]
Ogilvie syndrome is rare, but it should be considered a differential diagnosis in patients who have undergone surgery and present with significant abdominal pain and distention
Diagnosis and adequate treatment have a crucial role in the prognosis of Acute colonic pseudo-obstruction (ACPO) [3, 15, 16]

Summary

Introduction

Ogilvie syndrome is the eponym to describe a rare condition characterized by acute colonic dilation in the absence of mechanical obstruction colonic [1]. Acute colonic pseudo-obstruction (ACPO) was first described by William Heneage Ogilvie in 1948 [2]. The incidence of ACPO is 100 cases per 10000 admissions [3, 4]. ACPO has been described in hospitalized patients with severe illness, trauma, or after surgical procedures (cesarean, abdominal, pelvic ,urologic , thoracic, neurosurgical, coronary bypass, orthopaedic surgeries) [1, 2, 3, 5, 6].

Methods

Discussion

Conclusion