OGILVIE SYNDROME IN TWO CASES

Abstract

Ogilvie syndrome is an acute pseudo-obstruction of the colon without mechanical stenosis, the and pathogenesis of which is still unknown. This paper presented two cases of Ogilvie syndrome.
Case 1: A 57-year-old man was admitted to the hospital because of symptoms suggesting intestinal obstruction. Through examination revealed no mechanical stenosis of the colon. Since decompression for the dilated colon using colonos-copy was not successful, sigmoidostomy was performed because of the risk of colon perforation.
Case 2: A 75-year-old man with no past history of disease, was admitted with abdominal fullness and dilation of the colon. Various examinations revealed an extremely dilated colon without mechanical'stenosis, and the diagnosis of idiopathic Ogilvie syndrome was made. This case was treated by colonos-copic decompression.
In the literature, colonoscopic decompression is the first treatment of choice before surgery in some cases of the Ogilvie syndrome. In this paper, two cases of Ogilvie syndrome treated endoscopically or operatively are reported.