Clinical Observations in Geriatrics
Published: 2017-12-15

Mechanical bowel obstruction secondary to fecal impaction with superimposed Ogilvie Syndrome

Department of Medicine, Orlando Regional Healthcare, Orlando, Florida
Department of Medicine, Orlando Regional Healthcare, Orlando, Florida
Division of Academic Affairs and Research, Orlando Regional Healthcare, Orlando, Florida, USA
Fecal impaction Ogilvie Syndrome urosepsis Colonic ileus

Abstract

Ogilvie’s syndrome is a disorder characterized by massive dilation of the colon in the absence of mechanical
obstruction. Fecal impaction is typically a disorder of the elderly and results largely from the inability to sense
and respond to the presence of stool in the rectum. Both conditions can present with abdominal distension and
pain and both can result in colon damage if not decompressed.
A 67 year old male with a past medical history of cerebrovascular accident with left-sided residual weakness
presented with abdominal distension, pain and concurrent urosepsis. Abdominal imaging revealed massive
colonic dilation superimposed on a fecal impaction. Multiple attempts at mechanical disimpaction and the use
of neostigmine returned the stool pattern to normal.
Multiple comorbidities in elderly patients may result in both a delay in recognition and an overlap of disease
processes.

Affiliations

S. Knox

Department of Medicine, Orlando Regional Healthcare, Orlando, Florida

M. Madruga

Department of Medicine, Orlando Regional Healthcare, Orlando, Florida

S.J. Carlan

Division of Academic Affairs and Research, Orlando Regional Healthcare, Orlando, Florida, USA

Copyright

© Società Italiana di Gerontologia e Geriatria (SIGG) , 2017

How to Cite

[1]
Knox, S., Madruga, M. and Carlan, S. 2017. Mechanical bowel obstruction secondary to fecal impaction with superimposed Ogilvie Syndrome. JOURNAL OF GERONTOLOGY AND GERIATRICS. 65, 4 (Dec. 2017), 284-286.
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