Advertisement

An unusual development

      A 28-year-old man with sickle cell disease was admitted with chief complaints of jaundice, abdominal distension, constipation, and back and hip pain characteristic of prior sickle cell flares. For 2 weeks prior to admission, the patient had tried unsuccessfully to control his pain with a home narcotic regimen. He denied fevers, chills, chest pain, and shortness of breath, but he did report abdominal distension and constipation that coincided with his increased use of narcotics.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The American Journal of Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Ogilvie W.H.
        Large-intestine colic due to sympathetic deprivation.
        Br Med J. 1948; 2: 671-673
        • Vanek V.W.
        • Al-Salti M.
        Acute pseudo-obstruction of the colon (Ogilvie’s syndrome).
        Dis Colon Rectum. 1986; 29: 203-210
        • Jetmore A.B.
        • Timmcke A.E.
        • Gathright Jr, J.B.
        • Hicks T.C.
        • Ray J.E.
        • Baker J.W.
        Ogilvie’s syndrome.
        Dis Colon Rectum. 1992; 35: 1135-1142
        • Kukora J.S.
        • Dent T.L.
        Colonoscopic decompression of massive nonobstructive cecal dilatation.
        Arch Surg. 1977; 112: 512-517
        • Sloyer A.F.
        • Panella V.S.
        • Demas B.E.
        • et al.
        Ogilvie’s syndrome.
        Dig Dis Sci. 1988; 33: 1391-1396
        • Rex D.K.
        Acute colonic pseudo-obstruction (Ogilvie’s syndrome).
        Gastroenterologist. 1994; 2: 233-238
        • Ponec R.J.
        • Saunders M.D.
        • Kimmey M.B.
        Neostigmine for the treatment of acute colonic pseudo-obstruction.
        N Engl J Med. 1999; 341: 137-141