Document Detail

Pseudo-colonic obstruction after lumbar spine surgery: a case report.
MedLine Citation:
PMID:  17260618     Owner:  NLM     Status:  MEDLINE    
Acute colonic pseudo-obstruction (Ogilvie's syndrome) is characterised by abdominal distension and massive colonic dilatation without any mechanical cause of obstruction. The pathogenesis remains unknown but likely involves imbalance between sympathetic and parasympathetic colon innervation. This syndrome is well known in orthopaedic surgery, as trauma and orthopaedic surgery have been reported as aetiological factors. Some cases have been reported after cervical discectomy. We report a case of Ogilvie's syndrome after lumbar spine surgery. Medical treatment including parasympathetic agent was unsuccessful and the patient underwent a right colectomy. The pathophysiology and treatment are discussed based on a review of the literature.
David Reverdy; Michael Gebhart; Konstantinos Kothonidis; Julien Gallez; Daniel De Becker; Gabriel Liberale
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta orthopaedica Belgica     Volume:  72     ISSN:  0001-6462     ISO Abbreviation:  Acta Orthop Belg     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2007-01-30     Completed Date:  2007-02-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985165R     Medline TA:  Acta Orthop Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  769-71     Citation Subset:  IM    
Department of Surgery, Jules Bordet Institute, Brussels, Belgium.
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MeSH Terms
Cecum / pathology,  radiography
Colonic Pseudo-Obstruction / diagnosis,  etiology*,  radiography,  surgery
Dilatation, Pathologic
Lumbar Vertebrae / surgery*
Multiple Myeloma / pathology
Postoperative Complications* / diagnosis,  surgery
Spinal Neoplasms / secondary,  surgery*
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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