Dilation of colon with obstructive symptoms without mechanical obstruction in acute or chronic setting
Acute: Reversible, occurring with severe medical illness and major surgeries
Chronic: Constipation, no etiology for ileus, and repeated obstructive symptoms
IMAGING
General Features
Imaging Recommendations
Radiographic Findings
CT Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
Ahmed S et al: Intestinal pseudo-obstruction. StatPearls, 2021
Haj M et al: Ogilvie's syndrome: management and outcomes. Medicine (Baltimore). 97(27):e11187, 2018
Jayaram P et al: Postpartum acute colonic pseudo-obstruction (Ogilvie's syndrome): a systematic review of case reports and case series. Eur J Obstet Gynecol Reprod Biol. 214:145-9, 2017
Peker KD et al: Colonoscopic decompression should be used before neostigmine in the treatment of Ogilvie's syndrome. Eur J Trauma Emerg Surg. 43(4):557-66, 2017
Doorly MG et al: Pathogenesis and clinical and economic consequences of postoperative ileus. Surg Clin North Am. 92(2):259-72, viii, 2012
Elsner JL et al: Intravenous neostigmine for postoperative acute colonic pseudo-obstruction. Ann Pharmacother. 46(3):430-5, 2012
Tsirline VB et al: Colonoscopy is superior to neostigmine in the treatment of Ogilvie's syndrome. Am J Surg. 204(6):849-55; discussion 855, 2012
De Giorgio R et al: Acute colonic pseudo-obstruction. Br J Surg. 96(3):229-39, 2009
Choi JS et al: Colonic pseudoobstruction: CT findings. AJR Am J Roentgenol. 190(6):1521-6, 2008
Grassi R et al: Ogilvie's syndrome (acute colonic pseudo-obstruction): review of the literature and report of 6 additional cases. Radiol Med. 109(4):370-5, 2005
Stieger DS et al: Acute colonic pseudoobstruction (Ogilvie's syndrome) in two patients receiving high dose clonidine for delirium tremens. Intensive Care Med. 23(7):780-2, 1997
Vráblik V et al: [Pseudoobstruction syndrome of the large intestine (endoscopic therapy).] Vnitr Lek. 36(10):1002-4, 1990
Dilation of colon with obstructive symptoms without mechanical obstruction in acute or chronic setting
Acute: Reversible, occurring with severe medical illness and major surgeries
Chronic: Constipation, no etiology for ileus, and repeated obstructive symptoms
IMAGING
General Features
Imaging Recommendations
Radiographic Findings
CT Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
Ahmed S et al: Intestinal pseudo-obstruction. StatPearls, 2021
Haj M et al: Ogilvie's syndrome: management and outcomes. Medicine (Baltimore). 97(27):e11187, 2018
Jayaram P et al: Postpartum acute colonic pseudo-obstruction (Ogilvie's syndrome): a systematic review of case reports and case series. Eur J Obstet Gynecol Reprod Biol. 214:145-9, 2017
Peker KD et al: Colonoscopic decompression should be used before neostigmine in the treatment of Ogilvie's syndrome. Eur J Trauma Emerg Surg. 43(4):557-66, 2017
Doorly MG et al: Pathogenesis and clinical and economic consequences of postoperative ileus. Surg Clin North Am. 92(2):259-72, viii, 2012
Elsner JL et al: Intravenous neostigmine for postoperative acute colonic pseudo-obstruction. Ann Pharmacother. 46(3):430-5, 2012
Tsirline VB et al: Colonoscopy is superior to neostigmine in the treatment of Ogilvie's syndrome. Am J Surg. 204(6):849-55; discussion 855, 2012
De Giorgio R et al: Acute colonic pseudo-obstruction. Br J Surg. 96(3):229-39, 2009
Choi JS et al: Colonic pseudoobstruction: CT findings. AJR Am J Roentgenol. 190(6):1521-6, 2008
Grassi R et al: Ogilvie's syndrome (acute colonic pseudo-obstruction): review of the literature and report of 6 additional cases. Radiol Med. 109(4):370-5, 2005
Stieger DS et al: Acute colonic pseudoobstruction (Ogilvie's syndrome) in two patients receiving high dose clonidine for delirium tremens. Intensive Care Med. 23(7):780-2, 1997
Vráblik V et al: [Pseudoobstruction syndrome of the large intestine (endoscopic therapy).] Vnitr Lek. 36(10):1002-4, 1990
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