70 yo female patient with Ogilvie syndrome (acute pseudo-obs | Figure 1

70 yo female patient with Ogilvie syndrome

The dilated cecum >12 cm is presented. No result from the conservative treatment. Laparotomy with cecostomy was performed.


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This case is presented to test your acute life-saving skills! Remember, knowledge starts with common sense that must be advanced by application of special skills and knowing limitation to ask a colleague for help. Clinical scenario - female, whose professional was a nurse, in her mid sixties, BMI- 31, known history of diabetes -insulin dependent, HTN, thymectomy for MG (many years ago), lobectomy for lung cancer (six years ago), lumpectomy and current chemo for breast cancer (diagnosed a year ago, with port in place), who simply presented with acute abdomen after eating food with nausea, vomiting, and unrelenting abdominal pain.


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mysterious case, appendicectomy scar not healed since 1993! This 38 yrs old female after she did appendicectomy in 1993 till non she suffered from a lot of complications, some time the wound will infect, will be healed then after while reappear, last 2 yrs presented to my colleague´s clinic and she followed her and cleaned the wound under GA to find any FB or fistula after that remained free of scar for about 1 yrs...but still didn't resolve completely! Please share your thoughts.

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