Case Report Open Access
Volume 5 | Issue 1 | DOI: https://doi.org/10.33696/casereports.4.021

Case Report on Ogilvie Syndrome in a Non-Surgical Candidate

  • 1Department of Family Medicine, Larkin Community Hospital, Palm Springs Campus, 1475 W 49th Pl, Hialeah, FL 33012, USA
  • 2Department of Research and Academic Affairs, Larkin Community Hospital, Palm Springs Campus, 1475 W 49th Pl, Hialeah, FL 33012, USA
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Corresponding Author

Rishbha Dua, rishbhad@larkinhospital.com

Received Date: January 25, 2023

Accepted Date: February 07, 2023


Ogilvie syndrome, also known as “paralytic ileus of the colon,” is characterized by pseudo- obstruction of the colon without any component of mechanical obstruction; and presents as a massively distended abdomen. If left untreated, it carries a high risk of colonic perforation and ischemia leading to death. Ogilvie syndrome usually presents as a post-surgical complication, mainly due to the lack and/or restriction of movement coupled with a possible electrolyte imbalance. In this case, the patient was a non-surgical candidate who presented with a hip fracture after a mechanical fall. Three days post-fall, she developed nausea, abdominal discomfort, and constipation during her hospitalization, which gradually resulted in a massively distended abdomen. The patient was managed conservatively with a nasogastric tube, rectal tube decompression, Metoclopramide, and Magnesium Citrate administration. Abdominal X-rays showed massively dilated bowel loops. An abdominal CT scan showed diffuse dilation of the large bowel without a transition point, suggesting obstruction favoring colonic paralytic ileus. She was discharged to a rehabilitation facility for further physical therapy.


Acute dilated colon, Megacolon, Paralytic ileus of colon, Colonic distention, Ogilvie syndrome, Acute colonic pseudo-obstruction

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