Ogilvie’s Syndrome in patients with gastric adenocarcinoma

Abstract

Objective: To report a case of complicated Ogilvie’s syndrome and its possible correlations with gastric adenocarcinoma. Details of the case: The present case is of a female patient, 69 years old, undergoing treatment for gastric adenocarcinoma, who arrived at the emergency department with a complaint of sudden abdominal distention, tachycardia, tachypnea, presenting reduced hydro-air noises, tympanic abdomen to percussion, without signs of defense or peritoneal irritation. The tomographic study revealed diffuse gas distension without the presence of obstruction. The patient evolved with a severe increase in intra-abdominal pressure. She underwent exploratory laparotomy with the finding of extensive necrosis of intestinal loops and without signs of mechanical obstruction. Total ileo-colectomy was performed using a Bogotá bag. Despite the measures, there was an overall worsening of the postoperative condition with refractory shock, leading to death. Final considerations: The lack of knowledge about pathophysiology makes the management of these patients even more challenging for doctors. In addition, early diagnosis is the key to a better prognosis.