Diagnosis and treatment of Ogilvie's syndrome after lumbar spinal surgery

Report of three cases

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  • 1 Department of Surgery, Neurosurgical Section, St. Vincent Hospital, Santa Fe, New Mexico; and Department of Surgery, H. Lee Moffitt Cancer Center and Research Institute, University of South Florida, Tampa, Florida
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✓ Three patients who developed Ogilvie's syndrome following lumbar spinal surgery are described. Ogilvie's syndrome, also known as pseudo-obstruction of the colon, is characterized by massive cecal distention without mechanical obstruction. If this condition is not recognized and not promptly treated, it may be complicated by cecal perforation, a life-threatening hazard. The etiology, diagnosis, management, and potential relationship between lumbar spinal surgery and Ogilvie's syndrome are discussed.

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Contributor Notes

Address reprint requests to: Robert A. Feldman, M.D., 531 Harkle Road, Suite D, Santa Fe, New Mexico 87501.
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