E-ISSN 2534-9821
 

Case Report 


Total colectomy with an end ileostomy in Ogilvie’s syndrome

Saul Jasam Ruiz Cereceres, Cesar Alberto Lopez Jaime, Carlos Tadeo Perzabal Avilez, Tanya Gisselle Zapata Arredondo, Aldo Gustavo Acosta Garcia, Anna Karina Soto Posada.

Abstract
Introduction. Ogilvie’s syndrome, also known as acute colonic pseudo-obstruction (ACPO), is a condition characterized by massive dilatation of the colon, particularly caecum and right hemi-colon without any mechanical obstruction.
Case report. This is a 50-year-old male patient with a history of chronic diseases including HIV, all under medical treatment and with a surgical history of supracondylar amputation 3 weeks ago. He went to the emergency room after presenting the absence of evacuations of 3 weeks of evolution after his hospital discharge due to amputation, accompanied by diffuse intermittent colic-type abdominal pain, as well as abdominal distension, nausea and vomiting in small quantities. A simple abdominal tomography was performed, with great distention of the right colon (11 cm), transverse colon with abundant gas and distention (10 cm), and descending colon and sigmoid with distention (7 cm) and abundant coprostasis.
Medical treatment is started without clinical improvement, presenting greater abdominal pain predominantly on the right and elevated white blood cells, for which colonic perforation is suspected and it is decided to perform exploratory laparotomy, with total colectomy and terminal ileostomy.
Conclusion. Ogilvie's syndrome is rare and normally responds to medical treatment, however, when suspected of perforation or failure of medical treatment, it is decided to perform colonic bypass surgery, such as a colostomy or in some cases hemicolectomies or total colectomy, depending on of each patient, their comorbidities and their current clinical status.

Key words: Ogilvie’s Syndrome, bowel obstruction, pseudo-colonic obstruction, treatment


 
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How to Cite this Article
Pubmed Style

Cereceres SJR, Jaime CAL, Avilez CTP, Arredondo TGZ, Garcia AGA, Posada AKS. Total colectomy with an end ileostomy in Ogilvie’s syndrome. Int J Med Rev Case Rep. 2022; 6(1): 83-86. doi:10.5455/IJMRCR.TotalcolectomywithanendileostomyinOgilviessyndrome


Web Style

Cereceres SJR, Jaime CAL, Avilez CTP, Arredondo TGZ, Garcia AGA, Posada AKS. Total colectomy with an end ileostomy in Ogilvie’s syndrome. https://www.mdpub.net/?mno=120526 [Access: September 11, 2022]. doi:10.5455/IJMRCR.TotalcolectomywithanendileostomyinOgilviessyndrome


AMA (American Medical Association) Style

Cereceres SJR, Jaime CAL, Avilez CTP, Arredondo TGZ, Garcia AGA, Posada AKS. Total colectomy with an end ileostomy in Ogilvie’s syndrome. Int J Med Rev Case Rep. 2022; 6(1): 83-86. doi:10.5455/IJMRCR.TotalcolectomywithanendileostomyinOgilviessyndrome



Vancouver/ICMJE Style

Cereceres SJR, Jaime CAL, Avilez CTP, Arredondo TGZ, Garcia AGA, Posada AKS. Total colectomy with an end ileostomy in Ogilvie’s syndrome. Int J Med Rev Case Rep. (2022), [cited September 11, 2022]; 6(1): 83-86. doi:10.5455/IJMRCR.TotalcolectomywithanendileostomyinOgilviessyndrome



Harvard Style

Cereceres, S. J. R., Jaime, . C. A. L., Avilez, . C. T. P., Arredondo, . T. G. Z., Garcia, . A. G. A. & Posada, . A. K. S. (2022) Total colectomy with an end ileostomy in Ogilvie’s syndrome. Int J Med Rev Case Rep, 6 (1), 83-86. doi:10.5455/IJMRCR.TotalcolectomywithanendileostomyinOgilviessyndrome



Turabian Style

Cereceres, Saul Jasam Ruiz, Cesar Alberto Lopez Jaime, Carlos Tadeo Perzabal Avilez, Tanya Gisselle Zapata Arredondo, Aldo Gustavo Acosta Garcia, and Anna Karina Soto Posada. 2022. Total colectomy with an end ileostomy in Ogilvie’s syndrome. International Journal of Medical Reviews and Case Reports, 6 (1), 83-86. doi:10.5455/IJMRCR.TotalcolectomywithanendileostomyinOgilviessyndrome



Chicago Style

Cereceres, Saul Jasam Ruiz, Cesar Alberto Lopez Jaime, Carlos Tadeo Perzabal Avilez, Tanya Gisselle Zapata Arredondo, Aldo Gustavo Acosta Garcia, and Anna Karina Soto Posada. "Total colectomy with an end ileostomy in Ogilvie’s syndrome." International Journal of Medical Reviews and Case Reports 6 (2022), 83-86. doi:10.5455/IJMRCR.TotalcolectomywithanendileostomyinOgilviessyndrome



MLA (The Modern Language Association) Style

Cereceres, Saul Jasam Ruiz, Cesar Alberto Lopez Jaime, Carlos Tadeo Perzabal Avilez, Tanya Gisselle Zapata Arredondo, Aldo Gustavo Acosta Garcia, and Anna Karina Soto Posada. "Total colectomy with an end ileostomy in Ogilvie’s syndrome." International Journal of Medical Reviews and Case Reports 6.1 (2022), 83-86. Print. doi:10.5455/IJMRCR.TotalcolectomywithanendileostomyinOgilviessyndrome



APA (American Psychological Association) Style

Cereceres, S. J. R., Jaime, . C. A. L., Avilez, . C. T. P., Arredondo, . T. G. Z., Garcia, . A. G. A. & Posada, . A. K. S. (2022) Total colectomy with an end ileostomy in Ogilvie’s syndrome. International Journal of Medical Reviews and Case Reports, 6 (1), 83-86. doi:10.5455/IJMRCR.TotalcolectomywithanendileostomyinOgilviessyndrome