{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T03:37:58Z","timestamp":1771472278675,"version":"3.50.1"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,9,15]]},"abstract":"<jats:p>Acute colonic pseudo-obstruction (ACPO), or Ogilvie\u2019s syndrome, is a rare clinical entity in which there is massive non-toxic colonic dilatation in the absence of a mechanically obstructing lesion. It is an important yet poorly recognised cause of surgical morbidity and mortality occurring typically in elderly patients with multiple comorbidities. ACPO can often be reversed conservatively with colonoscopic or nasogastric decompression. Surgical intervention is seldom necessary. We present a case of Ogilvie\u2019s syndrome in which a healthy 76-year-old man developed life-threatening pseudo-obstruction following rib polytrauma after a mechanical fall. Pneumatosis coli was evident radiologically, prompting emergency exploratory laparotomy. Operative findings of serosal tearing and ischaemic colitis necessitated treatment with right hemicolectomy and ileostomy formation. Microbiological and histopathological analyses proved negative for inflammatory, obstructive and infectious colitides. The case emphasises the importance of early recognition and timely intervention in the management of this rare yet potentially fatal cause of megacolon.<\/jats:p>","DOI":"10.1136\/bcr-2017-220916","type":"journal-article","created":{"date-parts":[[2017,10,10]],"date-time":"2017-10-10T04:25:14Z","timestamp":1507609514000},"page":"bcr-2017-220916","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Ogilvie\u2019s syndrome treated with an emergency laparotomy, right hemicolectomy and end ileostomy"],"prefix":"10.1136","volume":"2017","author":[{"given":"Andrew James","family":"Robinson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John-Patrick","family":"Quigley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Athene","family":"Banks","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Farmer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,10,9]]},"reference":[{"key":"2025042712501050000_2017.oct09_1.bcr-2017-220916.1","first-page":"237","article-title":"Colonic pseudo-obstruction","volume":"50","author":"Durai","year":"2009","journal-title":"Singapore Med J"},{"key":"2025042712501050000_2017.oct09_1.bcr-2017-220916.2","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1055\/s-0035-1549100","article-title":"Acute colonic pseudoobstruction","volume":"28","author":"Chudzinski","year":"2015","journal-title":"Clin Colon Rectal Surg"},{"key":"2025042712501050000_2017.oct09_1.bcr-2017-220916.3","doi-asserted-by":"publisher","DOI":"10.1007\/BF00590926"},{"key":"2025042712501050000_2017.oct09_1.bcr-2017-220916.4","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.4579.671"},{"key":"2025042712501050000_2017.oct09_1.bcr-2017-220916.5","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1007\/BF02309624","article-title":"Autonomic dysfunction in chronic intestinal pseudo-obstruction","volume":"8","author":"Khurana","year":"1998","journal-title":"Clin Auton Res"},{"key":"2025042712501050000_2017.oct09_1.bcr-2017-220916.6","first-page":"132","article-title":"Paraneoplastic intestinal pseudo-obstruction, mononeuritis multiplex, and sensory neuropathy\/neuronopathy","volume":"96","author":"Simpson","year":"1996","journal-title":"J Am Osteopath Assoc"},{"key":"2025042712501050000_2017.oct09_1.bcr-2017-220916.7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2005.02668.x"},{"key":"2025042712501050000_2017.oct09_1.bcr-2017-220916.8","first-page":"233","article-title":"Acute colonic pseudo-obstruction (Ogilvie\u2019s syndrome)","volume":"2","author":"Rex","year":"1994","journal-title":"Gastroenterologist"},{"key":"2025042712501050000_2017.oct09_1.bcr-2017-220916.9","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1016\/j.gie.2009.11.027","article-title":"The role of endoscopy in the management of patients with known and suspected colonic obstruction and pseudo-obstruction","volume":"71","author":"Harrison","year":"2010","journal-title":"Gastrointest Endosc"},{"key":"2025042712501050000_2017.oct09_1.bcr-2017-220916.10","first-page":"304","article-title":"Neostigmine infusion: new standard of care for acute colonic pseudo-obstruction?","volume":"95","author":"Amaro","year":"2000","journal-title":"Am J Gastroenterol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-220916","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T19:50:17Z","timestamp":1745783417000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-220916"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10,9]]},"references-count":10,"alternative-id":["10.1136\/bcr-2017-220916"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-220916","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,10,9]]}}}