{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T12:14:09Z","timestamp":1756901649097,"version":"3.44.0"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T00:00:00Z","timestamp":1756166400000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Acute colonic pseudo-obstruction (ACPO), or Ogilvie\u2019s syndrome, is a rare but serious condition of colonic dilation without mechanical obstruction. Management becomes increasingly complex in patients with significant baseline comorbidities. We describe a 69-year-old female with extensive comorbidities who presented with acute on chronic hypoxic respiratory failure due to influenza pneumonia. During a prolonged ICU course, she developed progressive abdominal distension and was diagnosed with ACPO refractory to conservative and pharmacologic management. The patient was taken to surgery where a cecostomy was matured. Subsequently, she developed an incarcerated cecostomy intussusception. Surgical exploration revealed chronic right colon dilation and cecal prolapse, prompting a right hemicolectomy with end-ileostomy. This case highlights the role of stepwise surgical intervention in refractory ACPO, particularly in medically complex patients. While cecostomy may serve as a temporizing measure, complications such as intussusception may necessitate definitive resection. A tailored surgical approach is essential for optimizing outcomes.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf643","type":"journal-article","created":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T23:31:26Z","timestamp":1756251086000},"source":"Crossref","is-referenced-by-count":0,"title":["Surgical management of incarcerated cecostomy intussusception following refractory acute colonic pseudo-obstruction"],"prefix":"10.1093","volume":"2025","author":[{"given":"Andrew","family":"Kerner","sequence":"first","affiliation":[{"name":"Department of Surgery, Orlando Health, Division of Colorectal Surgery , 110 W Underwood Av, Orlando, FL 32801 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Galen","family":"Garriga","sequence":"additional","affiliation":[{"name":"Department of Surgery, Brookwood Baptist Health , 2010 Brookwood Medical Center Dr, Birmingham, AL 35209 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dasiel B","family":"De Luna","sequence":"additional","affiliation":[{"name":"Department of Surgery, Orlando Health, Division of Colorectal Surgery , 110 W Underwood Av, Orlando, FL 32801 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel","family":"De Jesus","sequence":"additional","affiliation":[{"name":"Department of Surgery, Orlando Health, Division of Colorectal Surgery , 110 W Underwood Av, Orlando, FL 32801 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2387-5304","authenticated-orcid":false,"given":"Antonio","family":"Caycedo-Marulanda","sequence":"additional","affiliation":[{"name":"Department of Surgery, Orlando Health, Division of Colorectal Surgery , 110 W Underwood Av, Orlando, FL 32801 ,","place":["United States"]},{"name":"University of Central Florida , 6850 Lake Nona Blvd, Orlando, FL 32827 ,","place":["United States"]},{"name":"Queen\u2019s University , 99 University Ave, Kingston, ON K7L 3N6 ,","place":["Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,8,26]]},"reference":[{"key":"2025082619311995500_ref1","doi-asserted-by":"publisher","first-page":"671","DOI":"10.1136\/bmj.2.4579.671","article-title":"Large-intestine colic due to sympathetic deprivation; a new clinical syndrome","volume":"2","author":"Ogilvie","year":"1948","journal-title":"Br Med J"},{"key":"2025082619311995500_ref2","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1007\/BF02555027","article-title":"Acute pseudo-obstruction of the colon (Ogilvie\u2019s syndrome). An analysis of 400 cases","volume":"29","author":"Vanek","year":"1986","journal-title":"Dis Colon Rectum"},{"key":"2025082619311995500_ref3","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1056\/NEJM199907153410301","article-title":"Neostigmine for the treatment of acute colonic pseudo-obstruction","volume":"341","author":"Ponec","year":"1999","journal-title":"N Engl J Med"},{"key":"2025082619311995500_ref4","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1055\/s-2005-870890","article-title":"Acute intestinal pseudo-obstruction (Ogilvie\u2019s syndrome)","volume":"18","author":"Maloney","year":"2005","journal-title":"Clin Colon Rectal Surg"},{"key":"2025082619311995500_ref5","doi-asserted-by":"publisher","first-page":"1046","DOI":"10.1097\/dcr.0000000000002159","article-title":"The American Society of Colon and Rectal Surgeons clinical practice guidelines for the management of colonic volvulus and acute colonic pseudo-obstruction","volume":"64","author":"Alavi","year":"2021","journal-title":"Dis Colon Rectum"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/8\/rjaf643\/64141621\/rjaf643.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/8\/rjaf643\/64141621\/rjaf643.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T23:31:29Z","timestamp":1756251089000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf643\/8242032"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":5,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,8,3]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf643","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2025,8]]},"published":{"date-parts":[[2025,8]]},"article-number":"rjaf643"}}