Adhesion ileus in patient with previous diagnosis of Ogilvie's syndrome

A case of a 72-year-old man with abdominal pain and ileus is reported. Previous surgery for Ogilvie's syndrome had been performed. Despite conservative therapy, the occlusive symptoms worsen. Therefore the patient was submitted to surgery. At laparotomy two abdominal adhesions were found and se...

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Bibliographic Details
Published in:Il Giornale di chirurgia 2005-08, Vol.26 (8-9), p.318-320
Main Authors: Mongardini, M, Schillaci, F, Cola, A, Fanello, G, Benedetti, F, Maturo, A, Pappalardo, G
Format: Article
Language:Italian
Subjects:
Aged
Colonic Pseudo-Obstruction - complications
Humans
Ileus - etiology
Ileus - surgery
Intestinal Diseases - complications
Male
Tissue Adhesions - complications
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Summary:A case of a 72-year-old man with abdominal pain and ileus is reported. Previous surgery for Ogilvie's syndrome had been performed. Despite conservative therapy, the occlusive symptoms worsen. Therefore the patient was submitted to surgery. At laparotomy two abdominal adhesions were found and sectioned. The differential diagnosis between mechanical ileus and pseudoobstruction for neuro-mechanics dissociation (Ogilvie's syndrome) is difficult, particularly in patients with neurodegenerative diseases.
ISSN:0391-9005