Massive acute colonic pseudo-obstruction successfully managed with conservative therapy in a patient with cerebral palsyReport as inadecuate




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International Journal of Emergency Medicine

, 4:15

First Online: 14 April 2011Received: 17 March 2011Accepted: 14 April 2011

Abstract

Acute colonic pseudo-obstruction ACPO, also known as Ogilvie syndrome, is a massive dilation of the colon in the absence of mechanical obstruction. Treatment measures may include anticholinergic agents such as neostigmine, colonoscopy, or fluoroscopic decompression, surgical decompression, and partial or complete colectomy. We reviewed the case of a 26-year-old male with cerebral palsy who had a history of chronic intermittent constipation who presented to the emergency department ED with signs of impaction despite recurrent fleet enemas and oral polyethylene glycol 3350. The patient was found to have a massive colonic distention of 26 cm likely because of bowel dysmotility, consistent with ACPO. This article includes a discussion of the literature and images that represent clinical examination, x-ray, and computed tomography CT findings of this patient, who successfully underwent conservative management only. Emergency department detection of this condition is important, and early intervention may prevent surgical intervention and associated complications.

Electronic supplementary materialThe online version of this article doi:10.1186-1865-1380-4-15 contains supplementary material, which is available to authorized users.

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Author: Derek R Cooney - Norma L Cooney

Source: https://link.springer.com/article/10.1186/1865-1380-4-15







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