Authors
Khanevich M.D.1, 2, Solovyov I.A.1, 3, Bazylev В.А.3, Konovalov S.V.1, Kudinova A.V.3
1 St. Petersburg State Pediatric Medical University, Saint-Petersburg
2 Russian Research Institute of Hematology and Transfusiology FMBA, Saint-Petersburg
3 SBHI «City Mariinsky Hospital», Saint-Petersburg
Abstract
Ogilvy syndrome is a rare form of intestinal obstruction. It is characterized by a significant expansion of all parts of the colon in the absence of any mechanical obstruction. It is characterized by a significant expansion of all parts of the colon in the absence of any mechanical obstruction. The pathogenesis of the syndrome is based on an imbalance in the nervous regulation of the motor function of the colon. Ogilvy syndrome can be initiated by a wide variety of factors, including surgical interventions performed outside the abdominal cavity and retroperitoneal space. We observed an elderly patient who, after surgery in the form of metallosteosynthesis of the left fibula, developed persistent colon paresis due to a fracture of both ankles of the left tibia with dislocation of fragments (Ogilvy syndrome). Attempts to resolve paresis by conservative methods did not lead to success. During the operation, a significant expansion (up to 10 cm) of the lumen of the entire colon was found without structural changes in its wall. The operation was completed by transanal drainage of the colon.
Keywords: fracture, ankles, left shin, osteosynthesis, Ogilvy syndrome, laparotomy, drainage of the colon.
References
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