Acute colonic pseudoobstruction acpo, also known as ogilvie syndrome, is the gross dilatation of the colon without mechanical obstruction. It mostly occurs in elderly patients with associated medical or surgical conditions, like cardiovascular, neurological, obstetric, infectious or inflammatory, metabolic, respiratory, posttraumatic, postsurgical and. Diagnosis of ogilvies syndrome is often suggested on a plain abdominal radiograph by a grossly dilated cecum 1012 cm in diameter. Axial noncontrast marked diffuse colonic dilatation with no evidence of distal organic obstruction. Observada frequentemente em pacientes idosos hospitalizados.
It is a type of megacolon, sometimes referred to as acute megacolon, to distinguish it from toxic megacolon. Associada a historia de traumatismo, fraturas, cardiopatia, infeccao ou uso de opioides, antidepressivos e anticolinergicos. Quello strano caso di sir william ogilvie empills pillole. Colonoscopy is superior to neostigmine in the treatment of. Colonoscopy is superior to neostigmine for ogilvies syndrome and should be considered firstline therapy, although neostigmine is useful in. Ogilvie syndrome is the acute dilatation of the colon in the absence of any mechanical obstruction in severely ill patients. Colonic pseudoobstruction ogilvies syndrome is a frequent and elusive problem in postsurgical and critically ill patients. The acute pseudobstruction of the colon or ogilvie s syndrome. Ogilvie syndrome is the acute dilatation of the colon in the absence of any mechanical obstruction in severely ill patients acute colonic pseudoobstruction is characterized by massive dilatation of the cecum diameter 10 cm and right colon on abdominal xray. Acute pseudoobstruction of the colon ogilvies syndrome.
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