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Giant colonic volvulus due to colonic pseudo-obstruction
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Journal Article
Giant colonic volvulus due to colonic pseudo-obstruction
2015
Overview
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.
Publisher
BMJ Publishing Group Ltd,BMJ Publishing Group LTD,BMJ Publishing Group
Subject
/ Abdomen
/ Aged
/ Colon
/ Colonic Pseudo-Obstruction - complications
/ Colonic Pseudo-Obstruction - diagnosis
/ Colonic Pseudo-Obstruction - surgery
/ Diabetes
/ Diabetes Mellitus, Type 2 - complications
/ Humans
/ Hypertension - complications
/ Intestinal Volvulus - diagnosis
/ Intestinal Volvulus - etiology
/ Intestinal Volvulus - surgery
/ Male
/ Ostomy
/ Patients
/ Rectum
/ White
