ogilvie syndrome
Pronunciation: OH-gil-vee
Also written as: ACPO — acute colonic pseudo-obstruction
Acute massive colonic distention without mechanical obstruction, also known as acute colonic pseudo-obstruction.
Full Definition
A condition characterized by massive colonic dilatation in the absence of mechanical obstruction, named after British surgeon Sir William Heneage Ogilvie. Most commonly affects the cecum and right colon, often occurring in hospitalized patients with serious underlying medical conditions. Risk factors include recent surgery, medications (especially opioids and anticholinergics), electrolyte imbalances, and immobility. Treatment includes conservative management with bowel rest and neostigmine, or decompressive colonoscopy and surgery in severe cases.
Usage
Usage note: Capitalize as proper noun. May be abbreviated as ACPO (acute colonic pseudo-obstruction).
In Context
- "The patient developed Ogilvie syndrome following prolonged bed rest and opioid administration." — Progress note
- "Neostigmine was administered for treatment of ACPO with subsequent colonic decompression." — Treatment plan