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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >Ogilvie's syndrome as a rare complication of lumbar disc surgery.
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Ogilvie's syndrome as a rare complication of lumbar disc surgery.

机译：Ogilvie综合征是腰椎间盘突出症的罕见并发症。

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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 Nasogastric aspiration was initiated and all analgesic drugs were withdrawn.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.
机译：背景：在这项研究中，我们报告了腰椎手术后的一种罕见并发症，即奥吉维氏综合症，在没有机械性阻塞的情况下表现为急性结肠扩张。案例：一名43岁的肥胖妇女接受了L4-L5腰椎间盘突出症的腰椎手术。病人抱怨腹部持续胀大，肠鸣音不足。 X线平片和超声检查显示结肠大面积扩张。开始鼻胃抽吸术，并撤消所有止痛药。腹胀在三天内逐渐消失。结论：文献仅报道了三例腰椎手术后的奥吉维综合症。在我们的案例中，肥胖，慢性便秘和麻醉药是最有可能引发疾病的原因。 Ogilvie综合征可以通过保守治疗来解决，但如果盲肠直径持续增加，则可能需要进行结肠镜检查或剖腹术以防止结肠穿孔。

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