Document Detail

Ogilvie's syndrome as a rare complication of lumbar disc surgery.
MedLine Citation:
PMID:  10676594     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: In this study we report a rare complication after lumbar surgery, Ogilvie's syndrome, that presents as acute colonic dilatation in the absence of mechanical obstruction. CASE: A 43-year-old obese woman underwent lumbar surgery for L4-L5 lumbar disc herniation. The patient complained of persistent abdominal distention and lack of bowel sounds. Plain radiography and ultrasonography revealed massive dilatation of the colon. Nasogastric aspiration was initiated and all analgesic drugs were withdrawn. Abdominal distention gradually disappeared within three days. CONCLUSIONS: Only three cases of Ogilvie's syndrome following lumbar spinal surgery have been reported in the literature. In our case obesity, chronic constipation, and narcotic drugs were the most likely precipitating causes. Ogilvie's syndrome may resolve with conservative treatment, but if the cecal diameter continues to increase, colonoscopy or laparotomy may be needed to prevent perforation of colon.
H Caner; M Bavbek; A Albayrak; T C Altinörs
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques     Volume:  27     ISSN:  0317-1671     ISO Abbreviation:  Can J Neurol Sci     Publication Date:  2000 Feb 
Date Detail:
Created Date:  2000-04-05     Completed Date:  2000-04-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0415227     Medline TA:  Can J Neurol Sci     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  77-8     Citation Subset:  IM    
Baskent University Faculty of Medicine, Department of Neurosurgery, Ankara, Turkey.
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MeSH Terms
Colonic Pseudo-Obstruction / etiology*,  therapy
Intervertebral Disk Displacement / surgery*
Lumbar Vertebrae / surgery
Postoperative Complications* / therapy

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