Pseudo-colonic obstruction after lumbar spine surgery: a case report
Reverdy, D.; Gebhart, M.; Kothonidis, K.; Gallez, J.; De Becker, D.; Liberale, G.
Acta Orthopaedica Belgica 72(6): 769-771
2006
ISSN/ISBN: 0001-6462 PMID: 17260618 Document Number: 597667
Acute colonic pseudo-obstruction (Ogilvie's syndrome) is characterised by abdominal distension and massive colonic dilatation without any mechanical cause of obstruction. The pathogenesis remains unknown but likely involves imbalance between sympathetic and parasympathetic colon innervation. This syndrome is well known in orthopaedic surgery, as trauma and orthopaedic surgery have been reported as aetiological factors. Some cases have been reported after cervical discectomy. We report a case of Ogilvie's syndrome after lumbar spine surgery. Medical treatment including parasympathetic agent was unsuccessful and the patient underwent a right colectomy. The pathophysiology and treatment are discussed based on a review of the literature.