PDF(Pubmed)
Abstract：
Acute colonic pseudo-obstruction (ACPO), or Ogilvie\'s syndrome, is an acute colonic dilatation without mechanical obstruction; it is most commonly seen in severely ill or postoperative patients. While this syndrome has no clear pathophysiology, it is diagnosed when the cecum and right colon expand without physical obstruction. This condition can lead to perforation and intestinal ischemia. Ogilvie\'s syndrome is associated with a relatively high morbidity and mortality rate. The diagnosis of ACPO can be often missed due to its vague symptoms such as bloating, abdominal distention, abdominal pain, nausea and vomiting, and severe constipation. We report the case of an 82-year-old female patient who had a unique diagnosis of ACPO, or Ogilvie\'s syndrome, overshadowed by the diagnosis of severe constipation. This case highlights the importance of maintaining a high index of suspicion and early diagnosis of symptoms that can rapidly become dangerous.
摘要：
急性结肠假性梗阻(ACPO),或者奥格尔维综合征,是无机械性梗阻的急性结肠扩张；最常见于重病或术后患者。虽然这种综合征没有明确的病理生理学，当盲肠和右结肠扩张而没有物理阻塞时，它被诊断。这种情况可导致穿孔和肠缺血。Ogilvie综合征具有相对较高的发病率和死亡率。ACPO的诊断通常可能由于其模糊的症状而被错过，例如腹胀，腹胀,腹痛,恶心和呕吐，还有严重的便秘.我们报告了一名82岁的女性患者，该患者具有ACPO的独特诊断，或者奥格尔维综合征,被严重便秘的诊断所掩盖。此病例强调了保持高怀疑指数和早期诊断可能迅速变得危险的症状的重要性。
