Perioperative Management of a Hip Fracture Complicated With Acute Colonic Pseudo-Obstruction (Ogilvie's Syndrome): A Case Report

Acute colonic pseudo-obstruction (Ogilvie syndrome) is characterized by a marked dilation of the colon in the absence of mechanical obstruction. This rare syndrome can occur in at-risk patients after trauma and in the preoperative period. We report on the case of a patient who presented with acute colonic pseudo-obstruction after a hip fracture, who was treated conservatively for her Ogilvie syndrome and then operated on for the fracture. This report highlights the perioperative challenges related to this condition and the importance of a timely diagnosis and management.

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Journal
Cureus
Published
2025-06-28
DOI
https://doi.org/10.7759/cureus.86926
Primary Topic
Intestinal Malrotation and Obstruction Disorders
Type
article
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article

Perioperative Management of a Hip Fracture Complicated With Acute Colonic Pseudo-Obstruction (Ogilvie's Syndrome): A Case Report

Mounir Kettani, M. Faroudy, Salim Chajai, Larbi Aberouch et al.
Cureus
Intestinal Malrotation and Obstruction Disorders
article

Perioperative Management of a Hip Fracture Complicated With Acute Colonic Pseudo-Obstruction (Ogilvie's Syndrome): A Case Report

Mounir Kettani, M. Faroudy, Salim Chajai, Larbi Aberouch, Hamza Zemrani, Jawad Tadili
article en

Abstract

Acute colonic pseudo-obstruction (Ogilvie syndrome) is characterized by a marked dilation of the colon in the absence of mechanical obstruction. This rare syndrome can occur in at-risk patients after trauma and in the preoperative period. We report on the case of a patient who presented with acute colonic pseudo-obstruction after a hip fracture, who was treated conservatively for her Ogilvie syndrome and then operated on for the fracture. This report highlights the perioperative challenges related to this condition and the importance of a timely diagnosis and management.

CureusVol. 17(6)
Mohammed V University (MA), Hôpital Ibn Sina-Rabat (MA), Ibn Sina Hospital (KW), Hôpital Militaire Moulay Ismail (MA)
Openalex Percentile: Top 74%
Intestinal Malrotation and Obstruction Disorders
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