Acute Colonic Pseudo-Obstruction (Ogilvie’s Syndrome)


Epidemiology


Etiologic/Risk Factors


Physiology


Diagnosis


Clinical Differentiation of Similar Entities

|Ileus|Pseudo-Obstruction|Bowel Obstruction
:————-:|:————-:|:———–:
Symp-toms|Mild abdominal pain, bloating, nausea, vomiting, obstipation, constipation|Crampy abdominal pain, constipation, obstipation, nausea, vomiting, anorexia|Crampy abdominal pain, constipation, obstipation, nausea, vomiting, anorexia
Exam|Silent abdomen, distention, tympanic|Borborygmi, tympanic, peristaltic waves, hypoactive or hyperactive bowel sounds, distention, localized tenderness|Borborygmi, peristaltic waves, high-pitched bowel sounds, rushes, distention, localized tenderness
X-Ray|Large and small bowel dilatation, diaphragm elevated|Isolated large bowel dilatation, diaphragm elevated|Bow-shaped loops in ladder pattern, paucity of colonic gas distal to lesion, diaphragm mildly elevated, air-fluid levels


Clinical Manifestations

Gastrointestinal Manifestations

Other Manifestations


Treatment

Medical Therapy

Surgical Therapy


Prognosis


References