scholarly journals Diagnosis and management of Ogilvie’s Syndrome post Caesarean Section.

2020 ◽  
Vol 19 (4) ◽  
pp. 157-162
Author(s):  
Leah Hawkins ◽  
Sunny Ajayi
Keyword(s):  
Caesarean Section ◽  
Lower Lobe ◽  
Abdominal Distension ◽  
Good Recovery ◽  
Ogilvie's Syndrome ◽  
Ogilvie’S Syndrome ◽  
Source Of Infection ◽  
Hospital Acquired Pneumonia ◽  
Return Home ◽  
Hospital Acquired

A 36-year-old woman presented to maternity unit two days post caesarean section (CS) with abdominal distension, pain and constipation. She was found to be septic on admission. Imaging demonstrated dilated bowel loops without an identifiable site of obstruction highlighting Ogilvie’s syndrome (OS) as the cause of her symptoms. Hospital acquired pneumonia (HAP) was identified as the source of infection with accompanying right sided lower lobe collapse. She was reviewed by multiple specialties to aid management and was subsequently managed conservatively for pseudo-obstruction. She made a good recovery and was able to return home after 10 days in hospital.

scholarly journals Diagnosis and management of Ogilvie’s Syndrome post caesarean section: case report

2021 ◽  
Vol 8 (8) ◽  
pp. 227-229
Author(s):  
Leah Hawkins ◽  
Sunny Ajayi
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Lower Lobe ◽  
Abdominal Distension ◽  
Maternity Unit ◽  
Good Recovery ◽  
Diagnosis And Management ◽  
Hospital Acquired Pneumonia ◽  
Return Home ◽  
Hospital Acquired

A 36-year-old woman presented to the maternity unit two days post caesarean section (CS) with abdominal distension, pain and constipation. She was found to be septic on admission. Imaging demonstrated dilated bowel loops without an identifiable site of obstruction highlightingOgilvie’s syndrome (OS) as the cause of her symptoms. Hospital acquired pneumonia (HAP) was identified as thesource of infection with accompanying right sided lower lobe collapse. She was reviewed by multiple specialties to aid management and was subsequently managedconservatively for pseudo-obstruction. She made a good recovery and was able to return home after 10 days in hospital

Ogilvie's syndrome presented with delirium in an older lady with corticobasal syndrome

2021 ◽  
pp. 1-3
Author(s):  
Feyza Mutlay ◽  
Derya Kaya ◽  
Ahmet Turan Isik
Keyword(s):  
Palliative Care ◽  
Health Care Professionals ◽  
Colonic Obstruction ◽  
Holistic Approach ◽  
Abdominal Distension ◽  
Corticobasal Syndrome ◽  
Ogilvie's Syndrome ◽  
Geriatric Population ◽  
Ogilvie’S Syndrome ◽  
Neurological Illnesses

Abstract Objective Corticobasal syndrome (CBS) is one of an atypical parkinsonian syndromes characterized by extrapyramidal features as well as cortical involvement signs. A variety of factors may lead to delirium in older adults with chronic progressive life-limiting neurological illnesses like CBS. Ogilvie's syndrome (OS) is an acute colonic pseudo-obstruction in which abdominal distension, nausea, vomiting, and constipation can be seen. We report a case of OS identified as the underlying possible cause of delirium in an 80-year-old woman with CBS. We also discuss the importance of holistic approach which is essential to manage the underlying cause and to preserve the quality of life in particular for the frail geriatric population who potentially needs palliative care or already benefits from palliative care. Method An older patient with CBS presented with symptoms similar to that of acute colonic obstruction and subsequently developed delirium. The patient was found to have colonic pseudo-obstruction (OS). Result Neostigmin infusion was therefore given to treat it and delirium was resolved. Significance of results To the best of our knowledge, clinical manifestation of delirium as OS in a patient with CBS has not been previously reported. OS may be superimposed to CBS in older patients, and OS in such patients may play a role as a precipitating factor for the development of delirium. Given the fact that CBS is progressive and rare neurodegenerative disease and almost all of these patients need palliative care, eventually, health-care professionals, especially in palliative care, should be aware of distinctive challenges of life-limiting chronic neurological illnesses, such as conditions that may lead to the development of acute colonic pseudo-obstruction because the rapid treatment of them prevents the use of potentially harmful drugs, surgical procedures, or inappropriate interventions.

Active Surveillance of Legionnaires Disease During a Prospective Observational Study of Community-and Hospital-Acquired Pneumonia

2007 ◽  
Vol 28 (9) ◽  
pp. 1085-1088 ◽  
Author(s):  
Erica Leoni ◽  
Rossella Sacchetti ◽  
Manuela Aporti ◽  
Claudio Lazzari ◽  
Manuela Donati ◽  
...  
Keyword(s):  
Legionella Pneumophila ◽  
Prospective Observational Study ◽  
Urinary Antigen Test ◽  
Serological Tests ◽  
Source Of Infection ◽  
Colony Forming Units ◽  
Clinical Surveillance ◽  
Hospital Acquired Pneumonia ◽  
Legionnaires Disease ◽  
Hospital Acquired

A prospective surveillance study of legionnaires disease and an environmental survey of Legionella species were performed simultaneously in a general hospital. During a period of 3 years, 705 patients with pneumonia were screened with a Legionella urinary antigen test, and pneumonia was confirmed by culture and serological tests. Twelve cases of legionnaires disease were identified, none of which were hospital acquired, despite the fact that 60% of hospital water samples were contaminated with Legionella pneumophila at a concentration of more than 103 colony-forming units/L. The probable source of infection was identified for only 2 community-acquired cases. The results show that environmental contamination alone is not able to predict the risk of legionnaires disease. If no cases are present, monitoring of hospital water systems is of little significance; clinical surveillance is much more important.

scholarly journals Use of Aldosterone Antagonist to Treat Diarrhea and Hypokalemia of Ogilvie’s Syndrome

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Pradhum Ram ◽  
Abhinav Goyal ◽  
Marvin Lu ◽  
Joshua Sloan ◽  
William McElhaugh
Keyword(s):  
Marked Improvement ◽  
Colonic Mucosa ◽  
Abdominal Distension ◽  
Bk Channels ◽  
Watery Diarrhea ◽  
Ogilvie's Syndrome ◽  
High Potassium ◽  
Ogilvie’S Syndrome ◽  
Aldosterone Antagonist ◽  
Neck Fracture

Ogilvie’s syndrome (OS) is a functional obstruction of the bowel due to an autonomic imbalance. It often presents with diarrhea and is associated with hypokalemia. We present a case of a 70-year-old male who developed severe abdominal distension, watery diarrhea, and persistent hypokalemia status after left hip arthroplasty after suffering from a femoral neck fracture due to a fall and was diagnosed with OS. The persistent hypokalemia was slow to improve despite aggressive repletion because of the high potassium losses in the stool. This is most likely mediated through the increased expression of BK channels in the colonic mucosa. Aldosterone is theorized to have a role in the regulation of BK channels. Spironolactone was subsequently given and resulted in marked improvement of the diarrhea and hypokalemia. Thus, this case suggests a novel therapeutic approach for the treatment of Ogilvie’s syndrome-associated diarrhea and hypokalemia.

Amitraz: an unusual aetiology of Ogilvie's syndrome

2005 ◽  
Vol 24 (9) ◽  
pp. 481-483 ◽  
Author(s):  
Sahin Aslan ◽  
Fatih Bilge ◽  
Bulent Aydinli ◽  
Tarik Ocak ◽  
Mustafa Uzkeser ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Gastric Lavage ◽  
Vital Signs ◽  
Abdominal Distension ◽  
Clinical Findings ◽  
Fluid Replacement ◽  
Supportive Treatment ◽  
Ogilvie's Syndrome ◽  
Ogilvie’S Syndrome ◽  
The Third

Amitraz is an insecticide/acaricide of formamidine pesticides used worldwide for ectoparasites in animals. Because of its widespread use, amitraz poisoning is frequently encountered in Turkey. Case report: A 36-year-old, comatose female was admitted to the hospital. Although it was stated that she had taken a glass of water containing amitraz, the exact volume of the substance was unknown. On admission, her Glasgow Coma Scale score was 10/15. Clinical findings were vomiting, miosis, bradycardia and hypotension. The patient's vital signs were body temperature 37.28C, pulse 54 bpm, blood pressure 80/50 mmHg and pulse-oximetry 84%. Supportive treatment consisting of oxygen, fluid replacement and gastric lavage, activated charcoal and atropine was administered. On the second day, signs of Ogilvie's syndrome characterized by severe tenderness, distension and pain in the abdomen were seen. On the third day, the patient's condition improved except for abdominal distension and pain, inability to pass faeces or flatus through the anus. Although continuous nasogastric tube decompression was performed, her complaints were not resolved completely. Neostigmine was administered on the fourth day. On the fifth day, abdominal pain and distension were decreased, and stool passage began. She had a complete clinical and laboratory improvement, which warranted her discharge on the seventh day of admission.

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