Giant colonic volvulus due to colonic pseudo-obstruction


Karaman K., Tanoglu A., Beyazit Y., Han I.

BMJ Case Reports, cilt.2015, 2015 (Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 2015
  • Basım Tarihi: 2015
  • Doi Numarası: 10.1136/bcr-2014-207963
  • Dergi Adı: BMJ Case Reports
  • Derginin Tarandığı İndeksler: Scopus
  • Çanakkale Onsekiz Mart Üniversitesi Adresli: Hayır

Özet

Acute colonic pseudo-obstruction (ACPO), also known as Ogilvie's syndrome, is a clinical syndrome characterised by gross dilation of the caecum and right hemicolon, which sometimes extends to the sigmoid colon and rectum in the absence of an anatomic lesion in the intestinal lumen. It is characterised by impaired propulsion of contents of the gastrointestinal tract, which results in a clinical picture of intestinal obstruction. A careful examination of the markedly distended colon can exclude several colonic pathologies, including mechanical obstruction and other causes of toxic megacolon. ACPO can sometimes predispose or mimic colonic volvulus, especially in geriatric patients.