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Intestinal Pseudo Obstruction

 Syn. colonic pseudo-obstruction , Ogilvie syndrome

Signs & Symptoms

 Vomiting
Ref: Uptodate [ Acute colonic pseudo-obstruction (Ogilvie's syndrome)] Harrison [ 254]
Nausea
Ref: Uptodate [ Acute colonic pseudo-obstruction (Ogilvie's syndrome)] Harrison [ 254]
Constipation
Ref: Uptodate [ Acute colonic pseudo-obstruction (Ogilvie's syndrome)]
Abdominal pain
Ref: Uptodate [ Acute colonic pseudo-obstruction (Ogilvie's syndrome)] Harrison [ 254]

Physical Examination

 Bowel sounds are present
Ref: Uptodate [ Acute colonic pseudo-obstruction (Ogilvie's syndrome)]
Early reduction of bowel sounds
Ref: Harrison [ 2296]
Early lack of bowel sounds
Ref: Harrison [ 2296]

Lab / Serology

 Hypocalcemia
Ref: Uptodate [ Acute colonic pseudo-obstruction (Ogilvie's syndrome)]
Hypokalemia
Ref: Uptodate [ Acute colonic pseudo-obstruction (Ogilvie's syndrome)]
Hypomagnesemia
Ref: Uptodate [ Acute colonic pseudo-obstruction (Ogilvie's syndrome)]

Imagin Study

 Radiograph reveal dilated colon
Ref: Uptodate [ Acute colonic pseudo-obstruction (Ogilvie's syndrome)]

Complication

 Developing to perforation
Ref: Uptodate [ Acute colonic pseudo-obstruction (Ogilvie's syndrome)] Harrison [ 2199]

Risk Factors

 Age > 60
Ref: Unknown [ 0]
Male
Ref: Unknown [ 0]

Cause

 Due to anticholinergic medications
Ref: Harrison [ 2199]
Due to electrolyte disorders
Ref: Harrison [ 2199]
Due to retroperitoneal mass
Ref: Harrison [ 2199]

Other