[Acute colonic pseudo-obstruction (Ogilvie's syndrome), a life-threatening complication after total hip replacement].

Abstract

INTRODUCTION:

In the literature, an acute colonic pseudo-obstruction (Ogilvie's syndrome) is frequently observed as a complication after hip arthroplasty. It results in a massive colon dilatation without mechanical obstructions and can lead to a life-threatening colon perforation with a high mortality.

CASE REPORT:

We report on a 81-year-old male patient who suffered from an acetabular fracture after falling down with a concomitant coxarthrosis at the same hip side. A total hip arthroplasty was performed using a Müller cap. Postoperatively, he developed an acute colonic pseudo-obstruction that was treated conservatively with multiple colonoscopic decompressions. The importance of prompt recognition, careful monitoring and appropriate management to reduce morbidity and mortality are supported by this case.

CONCLUSION:

Early diagnosis and colonoscopic decompressions play a key role in the therapy for Ogilvie's syndrome. In case of a failure of conservative treatment or peritonism, an early laparotomy and coecostomy are necessary.

• Authors: M Tezval, S Sehmisch, C Dumont, K H Frosch, P Balcarek, K M Stürmer
• Journal: Zentralblatt fur Chirurgie (Zentralbl Chir) Vol. 134 Issue 3 Pg. 263-6 (Jun 2009) ISSN: 1438-9592 [Electronic] Germany
• Vernacular Title: Akute Pseudoobstruktion des Kolons, "Ogilvie-Syndrom", eine lebensbedrohliche Komplikation nach Implantation von Hüfttotalendoprothesen.
• PMID: 19536723 (Publication Type: Case Reports, English Abstract, Journal Article)

Chemical References

• Contrast Media

Topics

• Aged, 80 and over
• Arthroplasty, Replacement, Hip
• Colonic Pseudo-Obstruction (diagnosis, therapy)
• Colonoscopy
• Contrast Media (administration & dosage)
• Early Diagnosis
• Emergencies
• Female
• Humans
• Osteoarthritis, Hip (surgery)
• Postoperative Complications (diagnosis, therapy)
• Tomography, X-Ray Computed
• Ultrasonography