Case Report
Pediatric acute colonic pseudo-obstruction post complicated appendicitis
Yasir R. Alshareef
Department of pediatric surgery, College of medicine, Imam University, PO Box 285483, City code 11323, Riyadh, Saudi Arabia.


Address correspondence to:
Yasir R. Alsahreef
Department of pediatric surgery
College of medicine, Imam University, PO Box 285483
City code 11323, Riyadh
Saudi Arabia

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How to cite this article
Alshareef YA. Pediatric acute colonic pseudo-obstruction post complicated appendicitis. Int J Case Rep Images 2016;7(1):7–10.

Introduction: Acute colonic pseudo-obstruction or Ogilvie syndrome is a rare but potentially fatal disorder. In addition, it can present diagnostic dilemma especially after complicated appendicitis where postoperative ileus and mechanical obstruction are more common. It has a significant morbidity and mortality rate that can be prevented by early diagnosis and prompt management.
Case Report: A nine-year-old boy was presented with clinical features of a ruptured appendix. The child was taken up for an exploratory laparotomy after an initial resuscitation, postoperatively, was eventful with a continued fever (38–39°C) and abdominal distention. So a second laparotomy was undertaken 10 days later, and the patient showed dramatic improvement before he developed progressive abdominal distention, mainly due to large bowel dilatation. Therefore, a diagnosis of acute colonic pseudo obstruction predicted and the patient managed conservatively with good response.
Conclusion: The possibility of acute colonic pseudo-obstruction should be considered in deferential diagnosis of bowel obstruction post-complicated appendicitis, since early diagnosis and prompt management can improve the outcome of this potentially serious condition.

Keywords: Acute appendicitis, Acute Colonic Pseudo-obstruction, Ogilvie syndrome, Postoperative complication

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Author Contributions
Yasir R. Alshareef – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
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The corresponding author is the guarantor of submission.
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Conflict of interest
Authors declare no conflict of interest.
© 2016 Yasir R. Alshareef. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.