TITLE:
Ogilvie Syndrome Associated to Parkinson’s Disease
AUTHORS:
M. Echchikhi, H. Essaber, H. Sekkat, F. Z. Laamrani, L. Jroundi
KEYWORDS:
Ogilvie’s Syndrome, Parkinson’s Disease, Computed Tomography
JOURNAL NAME:
Open Journal of Clinical Diagnostics,
Vol.9 No.3,
September
16,
2019
ABSTRACT:
Ogilvie’s syndrome is an acute dilatation of a part or all of the
colon and rectum without mechanical obstruction. The diagnosis is based on
computed tomography (CT) that excludes organic or functional
colonic obstruction andensures the detection of signs of severity. Rapid
diagnosis leads to conservative measures and the resolution of obstruction.
Delays in diagnosis can lead to complications imposing a surgical treatment and
increased mortality rate. We report the case of a 52 years old woman with Parkinson’s disease, who
presented Ogilvie’s syndrome. The initial assessment did not show signs of
severity, so medical treatment was introduced but without improvement; for this reason, the
surgical procedure was indicated as a cecostomy. There are several theories
that explain the pathophysiology of Ogilvie’s syndrome; the most likely is the
dysfunction of innervation of the colon which is due to Parkinson’s disease in
our case. The diagnosis is based on computed tomography. The treatment is
pharmacologic, conservative or surgical depending on the severity of the
disease and its evolution.