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Ogilvie's Syndrome as a Rare Complication of Lumbar Disc Surgery

Published online by Cambridge University Press:  04 August 2016

Hakan Caner ,
Murad Bavbek ,
Ahmet Albayrak  and
Tarkan Çalisaneller Nur Altinörs
Hakan Caner*
Affiliation:
Baskent University Faculty of Medicine, Department of Neurosurgery, Ankara, Turkey
Murad Bavbek
Affiliation:
Baskent University Faculty of Medicine, Department of Neurosurgery, Ankara, Turkey
Ahmet Albayrak
Affiliation:
Baskent University Faculty of Medicine, Department of Neurosurgery, Ankara, Turkey
Tarkan Çalisaneller Nur Altinörs
Affiliation:
Baskent University Faculty of Medicine, Department of Neurosurgery, Ankara, Turkey
*
Baskent University Faculty of Medicine, Department of Neurosurgery, Bahçelievler 06940, Ankara, Turkey
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Abstract:

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Background:

In this study we report a rare complication after lumbar surgery, Ogilvie's syndrome, that presents as acute colonic dilatation in the absence of mechanical obstruction.

Case:

A 43-year-old obese woman underwent lumbar surgery for L4-L5 lumbar disc herniation. The patient complained of persistent abdominal distention and lack of bowel sounds. Plain radiography and ultrasonography revealed massive dilatation of the colon. Nasogastric aspiration was initiated and all analgesic drugs were withdrawn. Abdominal distention gradually disappeared within three days.

Conclusions:

Only three cases of Ogilvie's syndrome following lumbar spinal surgery have been reported in the literature. In our case obesity, chronic constipation, and narcotic drugs were the most likely precipitating causes. Ogilvie's syndrome may resolve with conservative treatment, but if the cecal diameter continues to increase, colonoscopy or laparotomy may be needed to prevent perforation of colon.

Résumé:

RÉSUMÉ:Introduction:

Nous rapportons une complication rare suite à une chirurgie lombaire, le syndrome d'Ogilvie, qui se manifeste par une dilatation aiguë du colon en l'absence d'obstruction mécanique.

Description de cas:

Il s'agit d'une patiente obèse de 43 ans qui a subi une chirurgie pour hernie discale au niveau de L4-L5. La patiente s'est plaint de distension abdominale persistante et d'une absence de bruits intestinaux. La radiographie simple et l'ultrasonographie ont révélé une dilatation massive du colon. Suite à l'aspiration nasogastrique et au retrait de tous les analgésiques, la distension abdominale est disparue progressivement en 3 jours.

Conclusion:

Seulement trois cas de syndrome d'Ogilvie suite à une chirurgie spinale lombaire ont été rapportés dans la littérature. Chez notre cas, l'obésité, la constipation chronique et les narcotiques étaient les causes précipitantes les plus probables. Le problème peut se résoudre avec le traitement conservateur, mais si le diamètre coecal continue d'augmenter, il peut être nécessaire de procéder à une colonoscopie ou à une laparatomie afin de prévenir la perforation du colon.

Type
Case Report
Information
Canadian Journal of Neurological Sciences , Volume 27 , Issue 1 , February 2000 , pp. 77 - 78
Copyright
Copyright © The Canadian Journal of Neurological 2000

References

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